Organization
MOUNTAIN DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLES D FISHER D.D.S. (DENTIST)
(865) 546-7436
Entity
Organization
Contact information
Practice address
6215 RIVERVIEW CROSSING DR STE C, KNOXVILLE, TN 37924-2839
(865) 546-7436
(865) 546-7259
Mailing address
6215 RIVERVIEW CROSSING DR STE C, KNOXVILLE, TN 37924-2839
(865) 546-7436
(865) 546-7259
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS0000004867
TN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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