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Organization
PIKEVILLE FAMILY DENTISTRY
Active
Organization
PIKEVILLE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK LEE DDS (DENTIST)
(423) 488-0623
Entity
Organization
Contact information
Practice address
3086 MAIN ST, PIKEVILLE, TN 37367
(423) 447-2421
Mailing address
PO BOX 489, PIKEVILLE, TN 37367-0489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9096
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521399
—
TN
Enumeration date
04/25/2012
Last updated
04/25/2012
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