Individual
DR. DONALD SMITH REDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
350 BLOUNTVILLE HWY, SUITE 204, BRISTOL, TN 37620-0213
(423) 968-4114
(423) 968-4294
Mailing address
350 BLOUNTVILLE HWY, SUITE 204, BRISTOL, TN 37620-0213
(423) 968-4114
(423) 968-4294
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS003845
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3224945
—
TN
05
—
8019894
—
VA
Enumeration date
03/27/2006
Last updated
09/23/2014
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