Individual
DANIEL MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4141 RINGGOLD RD, EAST RIDGE, TN 37412
(423) 698-3607
Mailing address
4141 RINGGOLD RD, EAST RIDGE, TN 37412-2465
(229) 886-3844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11033
TN
390200000X
Student in an Organized Health Care Education/Training Program
DN015650
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2018
Last updated
07/12/2019
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