Harville Orthodontics Pllc | |
2025 Meadowview Pkwy Suite 200 Kingsport TN 37660-7386 | |
(423) 247-5137 | |
(423) 392-8595 |
Full Name | Harville Orthodontics Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2025 Meadowview Pkwy, Kingsport, Tennessee |
Authorized Official Name and Position | Jennifer Nottingham Harville (ORTHODONTIST/OWNER) |
Authorized Official Contact | 4232475137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harville Orthodontics Pllc 2025 Meadowview Pkwy Suite 200 Kingsport TN 37660-7386 Ph: (423) 247-5137 | Harville Orthodontics Pllc 2025 Meadowview Pkwy Suite 200 Kingsport TN 37660-7386 Ph: (423) 247-5137 |
NPI Number | 1982087326 |
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Provider Enumeration Date | 07/02/2015 |
Last Update Date | 07/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982087326 | NPI | - | NPPES |
Q002056 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9754 (Tennessee) | Primary |
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