Organization
TENNESSEE DENTAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS MULLINS II D.D.S. (MEMBER MANAGER)
(423) 323-2967
Entity
Organization
Contact information
Practice address
550 BALLARDS PRIVATE DR, BLOUNTVILLE, TN 37617-5200
(423) 323-2967
Mailing address
550 BALLARDS PRIVATE DR, BLOUNTVILLE, TN 37617-5200
(423) 323-2967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6820
TN
261QD0000X
Dental Clinic/Center
Primary
6820
TN
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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