Organization
SOUTHEASTERN DENTAL ASSOCIATES OF SODDY DAISY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS EUGENE BOWMAN D.M.D. (PRESIDENT)
(423) 332-0500
Entity
Organization
Contact information
Practice address
124 HARRISON LN, SUITE 100, SODDY DAISY, TN 37379-4831
(423) 332-0500
(423) 332-0920
Mailing address
124 HARRISON LN, SUITE 100, SODDY DAISY, TN 37379-4831
(423) 332-0500
(423) 332-0920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8527
TN
Other
Enumeration date
01/30/2007
Last updated
04/16/2013
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