| Davidson Dental Center | |
|
200 N Jackson St Athens TN 37303-3640 | |
| (423) 745-8363 | |
| (423) 744-8462 |
| Full Name | Davidson Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 N Jackson St, Athens, Tennessee |
| Authorized Official Name and Position | Charles G Davidson (DENTIST/OWNER) |
| Authorized Official Contact | 4237458363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davidson Dental Center 200 N Jackson St Athens TN 37303-3640 Ph: (423) 745-8363 | Davidson Dental Center 200 N Jackson St Athens TN 37303-3640 Ph: (423) 745-8363 |
| NPI Number | 1558679860 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558679860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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