# DONALD S. REDFORD, D.D.S, P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bristol Oral/Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134391154
- **Authorized official:** DR. DONALD SMITH REDFORD D.D.S (SURGEON/OWNER)
- **Authorized official phone:** (423) 968-4114

## Contact information

- **Practice address:** 350 BLOUNTVILLE HWY, SUITE 204, BRISTOL, TN 37620-0213
- **Practice address phone:** (423) 968-4114
- **Practice address fax:** (424) 968-4294
- **Mailing address:** 350 BLOUNTVILLE HWY, SUITE 204, BRISTOL, TN 37620-0213
- **Mailing address phone:** (423) 968-4114
- **Mailing address fax:** (424) 968-4294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS003845 | TN | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 08/10/2013