| Richland Creek Dental Llc | |
|
1272 Market St Dayton TN 37321 | |
| (423) 834-9900 | |
| Not Available |
| Full Name | Richland Creek Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1272 Market St, Dayton, Tennessee |
| Authorized Official Name and Position | Mckenzie Boling (OWNER DENTIST) |
| Authorized Official Contact | 4238349900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Creek Dental Llc 668 Dayco Dr Dayton TN 37321-6733 Ph: () - | Richland Creek Dental Llc 1272 Market St Dayton TN 37321 Ph: (423) 834-9900 |
| NPI Number | 1386193068 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386193068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10259 (Tennessee) | Primary |
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