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Organization
LOUDON DENTAL ARTS PLLC
Active
Organization
LOUDON DENTAL ARTS PLLC
Active
Other names
Scott A Walters DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALLEN WALTERS DDS (PRESIDENT)
(423) 384-2105
Entity
Organization
Contact information
Practice address
705 MULBERRY ST, LOUDON, TN 37774-1123
(865) 458-4396
(865) 458-4605
Mailing address
2235 FRIENDSVILLE RD, LENOIR CITY, TN 37772-4805
(423) 384-2105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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