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Individual

DR. STEWART LAWWILL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5109 SKILLERN DR, HIXSON, TN 37343-3262
(423) 842-2420
(423) 843-1844
Mailing address
5109 SKILLERN DR, HIXSON, TN 37343-3262
(423) 842-2420
(423) 843-1844

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4821
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0084675
BLUE CROSS BLUE SHIELD OF TN
TN
Enumeration date
05/02/2008
Last updated
05/02/2008
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