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Organization
ARCH DENTAL PLLC
Active
Organization
ARCH DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LISY DMD (DENTIST)
(423) 702-0251
Entity
Organization
Contact information
Practice address
1904 S CEDAR AVE, SOUTH PITTSBURG, TN 37380-1486
(423) 702-0251
Mailing address
1904 S CEDAR AVE, SOUTH PITTSBURG, TN 37380-1486
(423) 702-0251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2026
Last updated
09/25/2026
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