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Organization
PREMIER DENTAL ASSOCIATES, PLLC
Active
Organization
PREMIER DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HALL (BUSINESS MANAGER)
(865) 483-1322
Entity
Organization
Contact information
Practice address
400 LABORATORY RD, SUITE 107, OAK RIDGE, TN 37830-6810
(865) 483-1323
Mailing address
400 LABORATORY ROAD, SUITE 107, OAK RIDGE, TN 37830
(865) 483-1323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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