Organization
MC DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD ANDERSEN DMD (OWNER)
(770) 542-8999
Entity
Organization
Contact information
Practice address
1199 COLD SPRINGS RD, MOUNTAIN CITY, TN 37683-4034
(423) 727-0655
Mailing address
1199 COLD SPRINGS RD, MOUNTAIN CITY, TN 37683-4034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/26/2019
Last updated
12/08/2020
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