Organization
MARYVILLE MODERN DENTISTRY, PC
Active
Other names
Maryville Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BATES DDS (OWNER/DDS)
(865) 223-6705
Entity
Organization
Contact information
Practice address
1053 HUNTERS XING, ALCOA, TN 37701-1850
(865) 223-6705
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
06/14/2022
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