| Dr.melvin Donesky D.d.s. | |
|
212 Forrest Ave. New Tazewell TN 37825 | |
| (423) 626-6565 | |
| Not Available |
| Full Name | Dr.melvin Donesky D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 212 Forrest Ave., New Tazewell, Tennessee |
| Authorized Official Name and Position | Melvin Keith Donesky (DENTIST) |
| Authorized Official Contact | 4236266565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.melvin Donesky D.d.s. Po Box 684 New Tazewell TN 37824-0684 Ph: () - | Dr.melvin Donesky D.d.s. 212 Forrest Ave. New Tazewell TN 37825 Ph: (423) 626-6565 |
| NPI Number | 1508154055 |
|---|---|
| Provider Enumeration Date | 07/19/2011 |
| Last Update Date | 07/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508154055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS004887 (Tennessee) | Primary |