Vonore Dental Practice P C | |
1277 Highway 411 Vonore TN 37885-2456 | |
(423) 884-2300 | |
(423) 884-2981 |
Full Name | Vonore Dental Practice P C |
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Speciality | Dentist |
Location | 1277 Highway 411, Vonore, Tennessee |
Authorized Official Name and Position | Eric Peter Fugate (PRESIDENT) |
Authorized Official Contact | 4238842300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vonore Dental Practice P C 1277 Highway 411 Vonore TN 37885-2456 Ph: (423) 884-2300 | Vonore Dental Practice P C 1277 Highway 411 Vonore TN 37885-2456 Ph: (423) 884-2300 |
NPI Number | 1730287087 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 07/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730287087 | NPI | - | NPPES |
1519925 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |