| Smoky Mountain Pediatric Dentistry, Pllc | |
|
550 Town Creek Rd E Suite 101 Lenoir City TN 37772-6289 | |
| (865) 766-4884 | |
| Not Available |
| Full Name | Smoky Mountain Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 550 Town Creek Rd E, Lenoir City, Tennessee |
| Authorized Official Name and Position | Katherine Bodford Malone (PEDIATRIC DENTIST) |
| Authorized Official Contact | 8657664884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smoky Mountain Pediatric Dentistry, Pllc 550 Town Creek Rd E Suite 101 Lenoir City TN 37772-6289 Ph: (865) 766-4884 | Smoky Mountain Pediatric Dentistry, Pllc 550 Town Creek Rd E Suite 101 Lenoir City TN 37772-6289 Ph: (865) 766-4884 |
| NPI Number | 1871916668 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 06/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871916668 | NPI | - | NPPES |
| 1522864 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9031 (Tennessee) | Primary |
Foothills Oral And Maxillofacial Surgery, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Highway 321 N, Bldg. 4, Unit 20, Lenoir City, TN 37771 Phone: 865-986-4582 | |
Mabry, Akhrass & Mccary, Dds, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Highway 321 N, Lenoir City, TN 37771 Phone: 865-986-0842 Fax: 865-986-6459 | |
Lenoir City Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N A St, Lenoir City, TN 37771 Phone: 865-986-3514 | |
Akhrass Dental Implant And Cosmetic Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Highway 321 N Unit 1, Lenoir City, TN 37771 Phone: 865-986-0842 | |
Mabry Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Town Creek Rd. East, Lenoir City, TN 37772 Phone: 865-564-6001 Fax: 865-564-6003 | |
Town Creek Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Highway 321 N, Lenoir City, TN 37771 Phone: 865-816-6327 | |
Lenoir City Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 974 Highway 321 N Ste 200, Lenoir City, TN 37771 Phone: 865-440-1526 |