Individual
BRENT PATRICK COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
518 W BROADWAY AVE, MARYVILLE, TN 37801-4712
(865) 981-8800
(865) 981-1393
Mailing address
518 W BROADWAY AVE, MARYVILLE, TN 37801-4712
(865) 981-8800
(865) 981-1393
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS0000007019
TN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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