Individual
DR. SCOTTIE REAGAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
245 MIDWAY MEDICAL PARK, BRISTOL, TN 37620-1653
(423) 652-0260
Mailing address
245 MIDWAY MEDICAL PARK, BRISTOL, TN 37620-1653
(423) 652-0260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11994
TN
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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