Organization
DENTAL ASSOCIATES OF CLEVELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GIBBS DDS (OWNER)
(423) 813-7020
Entity
Organization
Contact information
Practice address
33 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(423) 813-7020
(423) 813-7028
Mailing address
33 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(423) 813-7020
(423) 813-7028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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