Erwin Dental, P.l.l.c. | |
600 N Main Ave Erwin TN 37650-1392 | |
(423) 743-6144 | |
(423) 743-6884 |
Full Name | Erwin Dental, P.l.l.c. |
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Speciality | Dentist - General Practice |
Location | 600 N Main Ave, Erwin, Tennessee |
Authorized Official Name and Position | Travis C. Wiles (OWNER) |
Authorized Official Contact | 4237436144 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Erwin Dental, P.l.l.c. 600 N Main Ave Erwin TN 37650-1392 Ph: (423) 743-6144 | Erwin Dental, P.l.l.c. 600 N Main Ave Erwin TN 37650-1392 Ph: (423) 743-6144 |
NPI Number | 1154623411 |
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Provider Enumeration Date | 11/18/2010 |
Last Update Date | 11/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154623411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS8721 (Tennessee) | Primary |
Erwin Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 N Main Ave, Erwin, TN 37650 Phone: 423-743-6144 Fax: 423-743-6884 | |
Cunningham Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 N Main Ave, Erwin, TN 37650 Phone: 423-743-9133 Fax: 423-743-9133 | |
Cunningham Dental Odd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 N Main Ave, Erwin, TN 37650 Phone: 423-743-9133 |