Organization
DAVIDSON DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G DAVIDSON JR. DDS (DENTIST/OWNER)
(423) 745-8363
Entity
Organization
Contact information
Practice address
200 N JACKSON ST, ATHENS, TN 37303-3640
(423) 745-8363
(423) 744-8462
Mailing address
200 N JACKSON ST, ATHENS, TN 37303-3640
(423) 745-8363
(423) 744-8462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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