# MC DENTAL SERVICES

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

## Provider details

- **NPI number:** 1689238446
- **Authorized official:** DR. BRAD ANDERSEN DMD (OWNER)
- **Authorized official phone:** (770) 542-8999

## Contact information

- **Practice address:** 1199 COLD SPRINGS RD, MOUNTAIN CITY, TN 37683-4034
- **Practice address phone:** (423) 727-0655
- **Mailing address:** 1199 COLD SPRINGS RD, MOUNTAIN CITY, TN 37683-4034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/26/2019
- **Last updated:** 12/08/2020
