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Organization

DR. STEVE MADISON & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE A MADISON DMD (DENTIST/OWNER)
(865) 453-0032
Entity
Organization

Contact information

Practice address
489 FORKS OF THE RIVER PKWY, SEVIERVILLE, TN 37862-3422
(865) 453-0032
(865) 453-3985
Mailing address
PO BOX 4625, SEVIERVILLE, TN 37864
(865) 453-0032
(865) 453-3985

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4122
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356411805
NPI
TN
Enumeration date
07/30/2008
Last updated
07/30/2008
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