| Lakeway Dental Center Pllc | |
|
1277 Highway 11w Bean Station TN 37708-5810 | |
| (865) 993-2225 | |
| (865) 993-2225 |
| Full Name | Lakeway Dental Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1277 Highway 11w, Bean Station, Tennessee |
| Authorized Official Name and Position | Dana M Johnson (DENTIST) |
| Authorized Official Contact | 8659932225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeway Dental Center Pllc 1277 Highway 11w Bean Station TN 37708-5810 Ph: (865) 993-2225 | Lakeway Dental Center Pllc 1277 Highway 11w Bean Station TN 37708-5810 Ph: (865) 993-2225 |
| NPI Number | 1649576190 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649576190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS9208 (Tennessee) | Primary |