Organization
GSM DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSON (OWNER)
(865) 868-3305
Entity
Organization
Contact information
Practice address
1419 PARKWAY STE 1, SEVIERVILLE, TN 37862-3050
(865) 868-3305
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
06/20/2023
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