Organization
MCMINN DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNOR WASYLUCHA DDS (OWNER)
(509) 520-0618
Entity
Organization
Contact information
Practice address
800 W MADISON AVE, ATHENS, TN 37303-3430
(423) 745-5212
Mailing address
800 W MADISON AVE, ATHENS, TN 37303-3430
(423) 745-5212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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