Organization
ROCKY TOP DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXWELL JANI (SR. DIRECTOR OF EFFICIENCY SERVICES)
(678) 761-5947
Entity
Organization
Contact information
Practice address
800 S GAY ST STE P325, KNOXVILLE, TN 37929-9749
(678) 761-5947
Mailing address
800 S GAY ST STE P325, KNOXVILLE, TN 37929-9749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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