Individual
DR. ROBERT WAYNE PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
313 W BROADWAY ST, ROGERSVILLE, TN 37857-3242
(423) 272-2714
(423) 272-9757
Mailing address
313 W BROADWAY ST, ROGERSVILLE, TN 37857-3242
(423) 272-2714
(423) 272-9757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS004230
TN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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