Maryville Dental Care | |
1401 Montvale Station Rd Maryville TN 37803-5815 | |
(865) 984-3800 | |
Not Available |
Full Name | Maryville Dental Care |
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Speciality | Dentist - General Practice |
Location | 1401 Montvale Station Rd, Maryville, Tennessee |
Authorized Official Name and Position | Laura Bull (OFFICE) |
Authorized Official Contact | 8654837851 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maryville Dental Care 400 Laboratory Rd Ste 101 Oak Ridge TN 37830-6808 Ph: (865) 483-7851 | Maryville Dental Care 1401 Montvale Station Rd Maryville TN 37803-5815 Ph: (865) 984-3800 |
NPI Number | 1083338644 |
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Provider Enumeration Date | 09/28/2022 |
Last Update Date | 09/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083338644 | NPI | - | NPPES |
1881190619 | Other | TN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Carroll R. Shanks, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-8048 Fax: 865-977-0318 | |
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