Organization
ADVANCED DENTAL AND ANESTHESIA SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN BRIGHT CRNA (CEO)
(423) 483-0945
Entity
Organization
Contact information
Practice address
135 MARKETPLACE DR STE 101, JOHNSON CITY, TN 37604-8933
(423) 483-0945
Mailing address
PO BOX 5610, JOHNSON CITY, TN 37602-5610
(423) 483-0945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
TN
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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