Individual
DR. ROBERT COVINGTON BORUM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1546 N GATEWAY AVE, ROCKWOOD, TN 37854-4112
(865) 805-9562
Mailing address
122 ARSENAULT XING, KINGSTON, TN 37763-7133
(865) 805-9562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11043
TN
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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