Organization
COLONIAL HEIGHTS DENTAL ASSOCAITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTLEY LYNN FORD DDS, FAGD (DENTIST/PRESIDENT)
(423) 239-8021
Entity
Organization
Contact information
Practice address
150 CLINIC DRIVE, SUITE A, KINGSPORT, TN 37663
(423) 239-8021
(423) 239-6273
Mailing address
150 CLINIC DRIVE, SUITE A, KINGSPORT, TN 37663
(423) 239-8021
(423) 239-6273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-00004556
TN
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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