Organization
WATAUGA DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON EDWARD DAVIS D.D.S. (MANAGER)
(423) 247-7741
Entity
Organization
Contact information
Practice address
613 WATAUGA ST, SUITES C, D & E, KINGSPORT, TN 37660-4429
(423) 247-7741
(423) 247-7441
Mailing address
613 WATAUGA ST, SUITE E, KINGSPORT, TN 37660-4429
(423) 247-7741
(423) 247-7441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5442136
—
TN
Enumeration date
08/05/2007
Last updated
07/06/2023
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