| Dr Michael Douglas Lopez Jr, DDS | |
|
2257 Jacksboro Pike, La Follette, TN 37766-2904 | |
| (423) 562-4766 | |
| (423) 562-3998 |
| Full Name | Dr Michael Douglas Lopez Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 2257 Jacksboro Pike, La Follette, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720218167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9047 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Douglas Lopez Jr, DDS 2257 Jacksboro Pike, La Follette, TN 37766-2904 Ph: () - | Dr Michael Douglas Lopez Jr, DDS 2257 Jacksboro Pike, La Follette, TN 37766-2904 Ph: (423) 562-4766 |
Dr. David Honald Childers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 130 Independence Ln Ste 2, La Follette, TN 37766 Phone: 423-562-1705 Fax: 423-566-5106 | |
Dr. James F.ranklin Shaw, DMD Dentist Medicare: Medicare Enrolled Practice Location: 403 W Ash St, La Follette, TN 37766 Phone: 423-562-1064 Fax: 423-562-1064 |