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170 Scott High Dr Huntsville TN 37756-4152 | |
(423) 663-4444 | |
(423) 663-4439 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 170 Scott High Dr, Huntsville, Tennessee |
Authorized Official Name and Position | Spencer A. Ellis (OWNER) |
Authorized Official Contact | 4236634444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 209 Huntsville TN 37756-0209 Ph: (423) 663-4444 | 170 Scott High Dr Huntsville TN 37756-4152 Ph: (423) 663-4444 |
NPI Number | 1194900464 |
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Provider Enumeration Date | 01/07/2008 |
Last Update Date | 10/02/2023 |
Identifier | Type | State | Issuer |
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1194900464 | NPI | - | NPPES |
3139906 | Other | TN | BLUE CROSS BLUE SHEILD |