Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Dental Arts of Oliver Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
102 BENNETT RD, OLIVER SPRINGS, TN 37840-5005
(865) 435-4100
Mailing address
102 BENNETT RD, OLIVER SPRINGS, TN 37840-5005
(865) 435-4100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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