Foothills Oral And Maxillofacial Surgery, Pc

NPI 1154407088 - Dentist - 1223S0112X

NPI Details
NPI 1154407088
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEVIN KEVIN
Position DDS/OWNER
Phone (865) 986-4582
Fax
Practice Location
603 HIGHWAY 321 N
BLDG. 4, UNIT 20
LENOIR CITY TN, 37771-6575, US
Phone (865) 986-4582
Fax
Business Location
PO BOX 4879
MARYVILLE TN, 37802-4879, US
Phone (865) 986-3865
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Tennessee
License Number DS7297
Remove 1154407088 NPI Number
 

According to our database, Foothills Oral And Maxillofacial Surgery, Pc NPI is 1154407088, taxonomy code is 1223S0112X and license number is DS7297, license state is located at Tennessee. Foothills Oral And Maxillofacial Surgery, Pc physically located at 603 Highway 321 N, Lenoir City TN, 37771-6575. NPI Number 1033115704 has the healthcare provider type.

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1154407088 NPI number is provided on an as is basis without warranty of any kind. 1154407088 is maintained by the National Plan & Provider Enumeration System. The contents of Foothills Oral And Maxillofacial Surgery, Pc are for informational purposes only.