Organization
ELITE DENTISTRY AND IMPLANTS, PLLC
Active
Other names
Elite Dentistry and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WILLIAM RUSTEMIER DMD (DIRECTOR/OWNER DENTIST)
(352) 316-3701
Entity
Organization
Contact information
Practice address
1339 MORELAND DR STE 1, KINGSPORT, TN 37663-4307
(423) 239-7450
Mailing address
138 GARLAND RD, LIMESTONE, TN 37681-2800
(352) 316-3701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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