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Organization
LEGACY DENTAL GROUP, PLLC
Active
Organization
LEGACY DENTAL GROUP, PLLC
Active
Other names
Dr. Andrew Lunn, DDS, Hixson Dental Groujp, Mountain View Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY KAY (INSURANCE ADMINISTRATOR)
(423) 843-0418
Entity
Organization
Contact information
Practice address
1605 WILLIAMS RD, HIXSON, TN 37343-4934
(423) 843-0418
(423) 842-7362
Mailing address
1605 WILLIAMS RD, HIXSON, TN 37343-4934
(423) 843-0418
(423) 842-7362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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