Pikeville Family Dentistry

NPI 1215295514 - Dentist - 1223G0001X

NPI Details
NPI 1215295514
Enumeration Date 04/25/2012
Last Updated 04/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name FREDERICK FREDERICK
Position DENTIST
Phone (423) 447-2421
Fax
Practice Location
3086 MAIN ST
PIKEVILLE TN, 37367, US
Phone (423) 447-2421
Fax
Business Location
PO BOX 489
PIKEVILLE TN, 37367-0489, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number 9096
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According to our database, Pikeville Family Dentistry NPI is 1215295514, taxonomy code is 1223G0001X and license number is 9096, license state is located at Tennessee. Pikeville Family Dentistry physically located at 3086 Main St, Pikeville TN, 37367. NPI Number 1033115704 has the healthcare provider type.

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1215295514 NPI number is provided on an as is basis without warranty of any kind. 1215295514 is maintained by the National Plan & Provider Enumeration System. The contents of Pikeville Family Dentistry are for informational purposes only.