The Tellico Dentist | |
415 Veterans Memorial Dr Tellico Plains TN 37385-5090 | |
(423) 253-3403 | |
(423) 253-6051 |
Full Name | The Tellico Dentist |
---|---|
Speciality | Dentist - General Practice |
Location | 415 Veterans Memorial Dr, Tellico Plains, Tennessee |
Authorized Official Name and Position | William Howard (OWNER) |
Authorized Official Contact | 4232533403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Tellico Dentist Po Box 119 Tellico Plains TN 37385-0119 Ph: (423) 253-3403 | The Tellico Dentist 415 Veterans Memorial Dr Tellico Plains TN 37385-5090 Ph: (423) 253-3403 |
NPI Number | 1477537454 |
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Provider Enumeration Date | 12/02/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477537454 | NPI | - | NPPES |
2983 | Other | TN | DORAL DENTAL |
4213 | Other | TN | BCBST |
4357 | Other | TN | DORAL DENTAL |
899016N | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | TN03498 (Tennessee) | Primary |