Organization
MCEWEN DENTAL SPECIALITIES
Active
Other names
mcewen dental associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGETT N SPANGLER RDA (OFFICE ADMINISTRATOR)
(931) 582-6997
Entity
Organization
Contact information
Practice address
161 RAILROAD ST S, MC EWEN, TN 37101-4762
(931) 582-6997
(931) 582-6989
Mailing address
161 RAILROAD STREET SOUTH, MCEWEN, TN 37101
(931) 582-6997
(931) 582-6989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6865
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7681
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4747
TN
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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