Organization
CRESTVIEW DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WESLEY SPEARS D.D.S. (DENTIST)
(865) 982-1700
Entity
Organization
Contact information
Practice address
1850 CREST ROAD, MARYVILLE, TN 37804-4305
(865) 982-1700
(865) 982-1746
Mailing address
1850 CREST ROAD, MARYVILLE, TN 37804-4305
(865) 982-1700
(865) 982-1746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4735
TN
1223G0001X
General Practice Dentistry
8734
LA
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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