Organization
ASPEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY COLE (PROVIDER RELATIONS MANAGER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
7731 KINGSTON PIKE, 102, KNOXVILLE, TN 37919-5519
(865) 525-4422
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9358
TN
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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