# MCEWEN DENTAL SPECIALITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mcewen dental associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538306329
- **Authorized official:** MRS. BRIDGETT N SPANGLER RDA (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (931) 582-6997

## Contact information

- **Practice address:** 161 RAILROAD ST S, MC EWEN, TN 37101-4762
- **Practice address phone:** (931) 582-6997
- **Practice address fax:** (931) 582-6989
- **Mailing address:** 161 RAILROAD STREET SOUTH, MCEWEN, TN 37101
- **Mailing address phone:** (931) 582-6997
- **Mailing address fax:** (931) 582-6989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6865 | TN | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7681 | TN | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 4747 | TN | — |

## Other

- **Enumeration date:** 01/15/2009
- **Last updated:** 01/15/2009