Organization
REAGAN GENTLE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTTIE ALLEN REAGAN II DDS (OWNER/DENTIST)
(865) 300-0545
Entity
Organization
Contact information
Practice address
1205 GEORGE AVE, JEFFERSON CITY, TN 37760-2759
(865) 475-8988
Mailing address
1205 GEORGE AVE, JEFFERSON CITY, TN 37760-2759
(865) 475-8988
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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