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Organization
TENNESSEE DENTAL HEALTH SERVICES PLLC
Active
Organization
TENNESSEE DENTAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS MULLINS II D.D.S. (MEMBER MANAGER)
(423) 323-2967
Entity
Organization
Contact information
Practice address
550 BALLARDS PRIVATE DR, BLOUNTVILLE, TN 37617-5200
(423) 323-2967
Mailing address
550 BALLARDS PRIVATE DR, BLOUNTVILLE, TN 37617-5200
(423) 323-2967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6820
TN
261QD0000X
Dental Clinic/Center
Primary
6820
TN
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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