Colonial Heights Dental, P.l.l.c

NPI 1164709531 - Dentist - 1223G0001X

NPI Details
NPI 1164709531
Enumeration Date 11/13/2011
Last Updated 11/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ANDREW ANDREW
Position PRESIDENT
Phone (423) 239-8021
Fax
Practice Location
150 CLINIC DR STE A
KINGSPORT TN, 37663-2254, US
Phone (423) 239-8021
Fax
Business Location
150 CLINIC DR STE A
KINGSPORT TN, 37663-2254, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number DS8925
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According to our database, Colonial Heights Dental, P.l.l.c NPI is 1164709531, taxonomy code is 1223G0001X and license number is DS8925, license state is located at Tennessee. Colonial Heights Dental, P.l.l.c physically located at 150 Clinic Dr Ste A, Kingsport TN, 37663-2254. NPI Number 1033115704 has the healthcare provider type.

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1164709531 NPI number is provided on an as is basis without warranty of any kind. 1164709531 is maintained by the National Plan & Provider Enumeration System. The contents of Colonial Heights Dental, P.l.l.c are for informational purposes only.