Organization
MARK A.COLLINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY COLLINS DMD (DENTIST/OWNER)
(423) 566-8248
Entity
Organization
Contact information
Practice address
3088 APPALACHIAN HWY STE 2, JACKSBORO, TN 37757-2526
(423) 566-8248
(423) 566-8247
Mailing address
3088 APPALACHIAN HWY STE 2, JACKSBORO, TN 37757-2526
(423) 566-8248
(423) 566-8247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000008223
TN
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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