Prohealth Senior Services Of Virginia | |
811 High St Maryville TN 37804-5030 | |
(844) 700-0088 | |
Not Available |
Full Name | Prohealth Senior Services Of Virginia |
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Speciality | Dentist - General Practice |
Location | 811 High St, Maryville, Tennessee |
Authorized Official Name and Position | William F Proffitt (OWNER) |
Authorized Official Contact | 8447000088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prohealth Senior Services Of Virginia 8028 Hampton Lake Dr Tampa FL 33647-3558 Ph: () - | Prohealth Senior Services Of Virginia 811 High St Maryville TN 37804-5030 Ph: (844) 700-0088 |
NPI Number | 1104314624 |
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Provider Enumeration Date | 04/30/2018 |
Last Update Date | 04/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104314624 | NPI | - | NPPES |
1649296906 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0401413088 (Virginia) | Primary |
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Charles H. Shanks, D.d.s., P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 1511 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-8048 Fax: 865-977-0318 | |
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