Individual
DR. NATHAN ROBERT WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6012 HIXSON PIKE, SUITE 100, HIXSON, TN 37343-3488
(423) 843-0964
(423) 843-0965
Mailing address
6012 HIXSON PIKE, SUITE 100, HIXSON, TN 37343-3488
(423) 843-0964
(423) 843-0965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8924
TN
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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