# ELYSIA P. BELVA D.D.S., P.L.L.C.

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

## Provider details

- **NPI number:** 1730630625
- **Authorized official:** DR. ELYSIA PARHAM BELVA D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (423) 580-2407

## Contact information

- **Practice address:** 1724 HAMILL RD, SUITE 114, HIXSON, TN 37343-5152
- **Practice address phone:** (423) 580-2407
- **Mailing address:** 1724 HAMILL RD, SUITE 114, HIXSON, TN 37343-5152
- **Mailing address phone:** (423) 580-2407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 9069 | TN | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 10/17/2016