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Organization
ROCKY TOP DENTAL SERVICES LLC
Active
Organization
ROCKY TOP DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXWELL JANI (SR. DIRECTOR OF EFFICIENCY SERVICES)
(678) 761-5947
Entity
Organization
Contact information
Practice address
800 S GAY ST STE P325, KNOXVILLE, TN 37929-9749
(678) 761-5947
Mailing address
800 S GAY ST STE P325, KNOXVILLE, TN 37929-9749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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