Organization
ELITE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE FRANKLIN JOHNSON III DMD (DENTIST/PRESIDENT)
(865) 397-5422
Entity
Organization
Contact information
Practice address
334 HIGHWAY 92 SOUTH, SUITE 1, DANDRIDGE, TN 37725
(865) 397-5422
(865) 397-5432
Mailing address
334 HIGHWAY 92 SOUTH, SUITE 1, DANDRIDGE, TN 37725
(865) 397-5422
(865) 397-5422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
BS8609
TN
122300000X
Dentist
Primary
DS8571
TN
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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