Organization
FOOTHILLS PEDIATRIC DENTRISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY DREW OSBORN D.D.S. (OWNER/DENTISIT)
(865) 977-8700
Entity
Organization
Contact information
Practice address
121 PARLIAMENT DR, MARYVILLE, TN 37804-6210
(865) 977-8700
(865) 977-5464
Mailing address
121 PARLIAMENT DR, MARYVILLE, TN 37804-6210
(865) 977-8700
(865) 977-5464
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7965
TN
Other
Enumeration date
05/15/2006
Last updated
08/22/2020
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