| Maryville Modern Dentistry | |
|
1053 Hunters Xing Alcoa TN 37701-1850 | |
| (865) 223-6705 | |
| Not Available |
| Full Name | Maryville Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1053 Hunters Xing, Alcoa, Tennessee |
| Authorized Official Name and Position | Philip Bates (OWNER/DDS) |
| Authorized Official Contact | 8652236705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryville Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Maryville Modern Dentistry 1053 Hunters Xing Alcoa TN 37701-1850 Ph: (865) 223-6705 |
| NPI Number | 1679056683 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679056683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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