| Riley Hansen Dds Pllc | |
|
734 W Lamar Alexander Pkwy Maryville TN 37801-3900 | |
| (208) 810-0419 | |
| Not Available |
| Full Name | Riley Hansen Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 734 W Lamar Alexander Pkwy, Maryville, Tennessee |
| Authorized Official Name and Position | Riley Hansen (OWNER) |
| Authorized Official Contact | 2088100419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Hansen Dds Pllc 734 W Lamar Alexander Pkwy Maryville TN 37801-3900 Ph: (208) 810-0419 | Riley Hansen Dds Pllc 734 W Lamar Alexander Pkwy Maryville TN 37801-3900 Ph: (208) 810-0419 |
| NPI Number | 1932918760 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932918760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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