Individual
JOSHUA EDWARD O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2335 KNOB CREEK RD, SUITE 107, JOHNSON CITY, TN 37604-2002
(423) 282-1030
(423) 282-4714
Mailing address
2335 KNOB CREEK RD, SUITE 107, JOHNSON CITY, TN 37604-2002
(423) 282-1030
(423) 282-4714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9466
TN
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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