| Farragut Modern Dentistry | |
|
109 Campbell Station Rd. Farragut TN 37934 | |
| (865) 622-8898 | |
| Not Available |
| Full Name | Farragut Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 109 Campbell Station Rd., Farragut, Tennessee |
| Authorized Official Name and Position | John Harrison (OWNER/DDS) |
| Authorized Official Contact | 8656228898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farragut Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: () - | Farragut Modern Dentistry 109 Campbell Station Rd. Farragut TN 37934 Ph: (865) 622-8898 |
| NPI Number | 1073087714 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073087714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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