# MOUNTAIN DENTAL P.C.

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

## Provider details

- **NPI number:** 1225202898
- **Authorized official:** MRS. CHARLES D FISHER D.D.S. (DENTIST)
- **Authorized official phone:** (865) 546-7436

## Contact information

- **Practice address:** 6215 RIVERVIEW CROSSING DR STE C, KNOXVILLE, TN 37924-2839
- **Practice address phone:** (865) 546-7436
- **Practice address fax:** (865) 546-7259
- **Mailing address:** 6215 RIVERVIEW CROSSING DR STE C, KNOXVILLE, TN 37924-2839
- **Mailing address phone:** (865) 546-7436
- **Mailing address fax:** (865) 546-7259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS0000004867 | TN | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008