# ELITE DENTISTRY AND IMPLANTS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Dentistry and Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699506287
- **Authorized official:** DR. ERIC WILLIAM RUSTEMIER DMD (DIRECTOR/OWNER DENTIST)
- **Authorized official phone:** (352) 316-3701

## Contact information

- **Practice address:** 1339 MORELAND DR STE 1, KINGSPORT, TN 37663-4307
- **Practice address phone:** (423) 239-7450
- **Mailing address:** 138 GARLAND RD, LIMESTONE, TN 37681-2800
- **Mailing address phone:** (352) 316-3701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 08/13/2024