Individual
DR. ANDREW MONTEITH MACCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MIIF, DABOI/ID
Contact information
Practice address
4453 HIGHWAY 11 E, BLUFF CITY, TN 37618-2456
(423) 391-8004
(423) 391-8006
Mailing address
PO BOX 297, BLUFF CITY, TN 37618-0297
(423) 391-8004
(423) 391-8006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN009951
GA
122300000X
Dentist
Primary
DS0000009226
TN
Other
Enumeration date
11/22/2010
Last updated
09/17/2019
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