| Elite Dental Pllc | |
|
334 Highway 92 South Suite 1 Dandridge TN 37725 | |
| (865) 397-5422 | |
| (865) 397-5432 |
| Full Name | Elite Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 334 Highway 92 South, Dandridge, Tennessee |
| Authorized Official Name and Position | George Franklin Johnson (DENTIST/PRESIDENT) |
| Authorized Official Contact | 8653975422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Pllc 334 Highway 92 South Suite 1 Dandridge TN 37725 Ph: (865) 397-5422 | Elite Dental Pllc 334 Highway 92 South Suite 1 Dandridge TN 37725 Ph: (865) 397-5422 |
| NPI Number | 1649576935 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649576935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS8571 (Tennessee) | Primary |
| 122300000X | Dentist | BS8609 (Tennessee) | Secondary |
Dandridge Pediatric Dentistry Dental Clinic Medicare: Medicare Enrolled Practice Location: 117 E Price Rd, Dandridge, TN 37725 Phone: 865-940-1280 |