Organization
DONALD S. REDFORD, D.D.S, P.C
Active
Organization
DONALD S. REDFORD, D.D.S, P.C
Active
Other names
Bristol Oral/Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD SMITH REDFORD D.D.S (SURGEON/OWNER)
(423) 968-4114
Entity
Organization
Contact information
Practice address
350 BLOUNTVILLE HWY, SUITE 204, BRISTOL, TN 37620-0213
(423) 968-4114
(424) 968-4294
Mailing address
350 BLOUNTVILLE HWY, SUITE 204, BRISTOL, TN 37620-0213
(423) 968-4114
(424) 968-4294
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS003845
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020203
—
TN
05
—
008019894
—
VA
Enumeration date
03/31/2008
Last updated
08/10/2013
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