Organization
HOUSE MOUNTAIN DENTISTRY
Active
Other names
House Mountain Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE M LONG RDH (OFFICE MANAGER)
(865) 992-5821
Entity
Organization
Contact information
Practice address
3802 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3413
(865) 992-5821
(865) 992-3042
Mailing address
3802 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3413
(865) 992-5821
(865) 992-3042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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