Organization
GOOD LIFE HEALTHCARE SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA MARIE HALL - FISHER RDH, RDA (PRESIDENT/ CEO)
(865) 333-1611
Entity
Organization
Contact information
Practice address
9329 MIDDLEBROOK PIKE, KNOXVILLE, TN 37931-4704
(865) 333-1611
Mailing address
PO BOX 30608, KNOXVILLE, TN 37930-0608
(865) 333-1611
(800) 879-9969
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DS0000004867
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003961780
CHARLES DANIEL FISHER, DDS
TN
01
—
1417052903
DAVID B. LEE, DDS
TN
01
—
1578665923
RONALD W. SMITH, DDS
TN
Enumeration date
07/12/2017
Last updated
06/16/2018
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