Organization
ROGERSVILLE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT CORNETTE DMD (OWNER)
(606) 359-5815
Entity
Organization
Contact information
Practice address
110 S HASSON ST, ROGERSVILLE, TN 37857-3616
(606) 359-5815
Mailing address
1500 REYNOLDS HOLLOW RD, GREENEVILLE, TN 37745-8368
(063) 595-8156
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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