Secret City Dental Care | |
349 S Illinois Ave Ste 300 Oak Ridge TN 37830-6756 | |
(217) 540-5100 | |
Not Available |
Full Name | Secret City Dental Care |
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Speciality | Dentist - General Practice |
Location | 349 S Illinois Ave Ste 300, Oak Ridge, Tennessee |
Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175408426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Secret City Dental Care 351 S Illinois Ave Oak Ridge TN 37830-6756 Ph: (865) 272-2806 | Secret City Dental Care 349 S Illinois Ave Ste 300 Oak Ridge TN 37830-6756 Ph: (217) 540-5100 |
NPI Number | 1174000780 |
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Provider Enumeration Date | 07/26/2018 |
Last Update Date | 10/02/2018 |
Identifier | Type | State | Issuer |
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1174000780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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