# DR. ROBERT D SELF, DDS

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

## Provider details

- **NPI number:** 1275408197
- **Authorized official:** DR. ROBERT D SELF DDS (OWNER/DENTIST)
- **Authorized official phone:** (423) 586-5382

## Contact information

- **Practice address:** 216 E 1ST NORTH ST, MORRISTOWN, TN 37814-4710
- **Practice address phone:** (423) 586-5382
- **Mailing address:** 216 E 1ST NORTH ST, MORRISTOWN, TN 37814-4710
- **Mailing address phone:** (423) 586-5382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2025
- **Last updated:** 10/16/2025