| Tennessee River Dental, Pllc | |
|
4845 Hixson Pike Ste C Hixson TN 37343-4466 | |
| (423) 877-3848 | |
| (423) 877-3726 |
| Full Name | Tennessee River Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4845 Hixson Pike Ste C, Hixson, Tennessee |
| Authorized Official Name and Position | Marcus Kenneth Randall (OWNER) |
| Authorized Official Contact | 4238773848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee River Dental, Pllc 4845 Hixson Pike Ste C Hixson TN 37343-4466 Ph: (423) 877-3848 | Tennessee River Dental, Pllc 4845 Hixson Pike Ste C Hixson TN 37343-4466 Ph: (423) 877-3848 |
| NPI Number | 1568854875 |
|---|---|
| Provider Enumeration Date | 02/23/2015 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568854875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9947 (Tennessee) | Primary |
| 261QD0000X | Clinic/center - Dental | 3483 (Tennessee) | Secondary |
Don F. Flanagan Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Executive Dr, Suite 105, Hixson, TN 37343 Phone: 423-877-1286 | |
Premier Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1963 Northpoint Blvd, Suite 113, Hixson, TN 37343 Phone: 423-551-3373 | |
Hixson Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5470 Hixson Pike Ste A, Hixson, TN 37343 Phone: 423-842-0165 Fax: 423-842-7614 | |
E. M. Hammon, Jr., D. D.s., P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 4841 Hixson Pike, Suite E, Hixson, TN 37343 Phone: 423-877-5242 Fax: 423-877-5261 | |
Standifer Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1724 Hamill Rd, Suite 202, Hixson, TN 37343 Phone: 423-877-6485 | |
Brian Webb Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4803 Hixson Pike Ste 101, Hixson, TN 37343 Phone: 423-870-5254 | |
True Dental Of Hixson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4513 Hixson Pike Ste 103, Hixson, TN 37343 Phone: 423-875-6778 Fax: 423-875-6779 |