# APPALACHIAN LIFE QUALITY INITISTIVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scott County Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114921178
- **Authorized official:** DR. ALLEN DANIELS (DENTIST)
- **Authorized official phone:** (423) 663-8200

## Contact information

- **Practice address:** 350 COURT STREET, HUNTSVILLE, TN 37756
- **Practice address phone:** (423) 663-8200
- **Practice address fax:** (423) 663-8544
- **Mailing address:** PO BOX 210, HUNTSVILLE, TN 37756-0210
- **Mailing address phone:** (423) 663-8200
- **Mailing address fax:** (423) 663-8544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | TN | Yes |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 07/21/2022