# ROGERSVILLE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215679410
- **Authorized official:** DR. BRENT CORNETTE DMD (OWNER)
- **Authorized official phone:** (606) 359-5815

## Contact information

- **Practice address:** 110 S HASSON ST, ROGERSVILLE, TN 37857-3616
- **Practice address phone:** (606) 359-5815
- **Mailing address:** 1500 REYNOLDS HOLLOW RD, GREENEVILLE, TN 37745-8368
- **Mailing address phone:** (063) 595-8156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2022
- **Last updated:** 04/08/2022