Organization
VONORE DENTAL PRACTICE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PETER FUGATE DDS (PRESIDENT)
(423) 884-2300
Entity
Organization
Contact information
Practice address
1277 HIGHWAY 411, VONORE, TN 37885-2456
(423) 884-2300
(423) 884-2981
Mailing address
1277 HIGHWAY 411, VONORE, TN 37885-2456
(423) 884-2300
(423) 884-2981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519925
—
TN
Enumeration date
09/20/2006
Last updated
07/22/2015
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