Organization
DR. HUGH D. VICE, D.D.S.,M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY VICE (OFFICE MANAGER)
(423) 842-0165
Entity
Organization
Contact information
Practice address
5470 HIXSON PIKE STE A, HIXSON, TN 37343-3299
(423) 842-0165
(423) 842-7614
Mailing address
5470 HIXSON PIKE STE A, HIXSON, TN 37343-3299
(423) 842-0165
(423) 842-7614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4055
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000338082B
—
GA
05
—
5440805
—
TN
Enumeration date
05/17/2011
Last updated
05/17/2011
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