# CRESTVIEW DENTAL CARE, P.C.

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

## Provider details

- **NPI number:** 1801116272
- **Authorized official:** THOMAS WESLEY SPEARS D.D.S. (DENTIST)
- **Authorized official phone:** (865) 982-1700

## Contact information

- **Practice address:** 1850 CREST ROAD, MARYVILLE, TN 37804-4305
- **Practice address phone:** (865) 982-1700
- **Practice address fax:** (865) 982-1746
- **Mailing address:** 1850 CREST ROAD, MARYVILLE, TN 37804-4305
- **Mailing address phone:** (865) 982-1700
- **Mailing address fax:** (865) 982-1746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4735 | TN | Yes |
| 1223G0001X | General Practice Dentistry | 8734 | LA | — |

## Other

- **Enumeration date:** 06/08/2010
- **Last updated:** 06/08/2010