Organization
ADULT & FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL FORD DDS (OWNER)
(865) 681-7645
Entity
Organization
Contact information
Practice address
1740 BIG SPRINGS RD, MARYVILLE, TN 37801
(865) 681-7645
(865) 681-3488
Mailing address
1740 BIG SPRINGS RD, MARYVILLE, TN 37801
(865) 681-7645
(865) 681-3488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
10/10/2012
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