# ATHENS FAMILY DENTAL

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

## Provider details

- **NPI number:** 1699237511
- **Authorized official:** MADELINE HOESTEN (VICE PRESIDENT OF INTEGRATION)
- **Authorized official phone:** (954) 675-3088

## Contact information

- **Practice address:** 746 TELL STREET, ATHENS, TN 37303
- **Practice address phone:** (423) 745-3559
- **Practice address fax:** (423) 507-8217
- **Mailing address:** 3483 COASTLINE LN, VIERA, FL 32940-6587
- **Mailing address phone:** (954) 675-3088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 05/29/2024