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Individual

BENJAMIN BRUCE COFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
424 N HIGH ST, MORRISTOWN, TN 37814-3863
(423) 586-2336
(423) 586-2396
Mailing address
424 N HIGH ST, MORRISTOWN, TN 37814-3863
(423) 586-2336
(423) 586-2396

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2386
TN

Other

Enumeration date
01/22/2019
Last updated
01/22/2019
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