Individual
DR. CONNOR WASYLUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
122300000X
Dentist
Primary
12681
TN
122300000X
Dentist
Primary
38871
TX
Other
Enumeration date
08/08/2022
Last updated
02/13/2026
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