| Foothills Pediatric Dentristry, P.c. | |
|
121 Parliament Dr Maryville TN 37804-6210 | |
| (865) 977-8700 | |
| (865) 977-5464 |
| Full Name | Foothills Pediatric Dentristry, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 121 Parliament Dr, Maryville, Tennessee |
| Authorized Official Name and Position | Garry Drew Osborn (OWNER/DENTISIT) |
| Authorized Official Contact | 8659778700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Pediatric Dentristry, P.c. 121 Parliament Dr Maryville TN 37804-6210 Ph: (865) 977-8700 | Foothills Pediatric Dentristry, P.c. 121 Parliament Dr Maryville TN 37804-6210 Ph: (865) 977-8700 |
| NPI Number | 1629029657 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629029657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7965 (Tennessee) | Primary |
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