# AEB DENTAL PLLC

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

## Provider details

- **NPI number:** 1790252211
- **Authorized official:** ASHLEY BOLING (OWNER)
- **Authorized official phone:** (423) 875-2626

## Contact information

- **Practice address:** 5550 HIGHWAY 153 STE 100, HIXSON, TN 37343-4991
- **Practice address phone:** (423) 875-2626
- **Mailing address:** PO BOX 70887, CLEVELAND, OH 44190-0887

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2018
- **Last updated:** 06/13/2023