| Monteagle Family Dentistry, Pllc. | |
|
16 S Central Ave # 219 Monteagle TN 37356-3075 | |
| (931) 924-2219 | |
| (931) 924-2219 |
| Full Name | Monteagle Family Dentistry, Pllc. |
|---|---|
| Speciality | Dentist |
| Location | 16 S Central Ave, Monteagle, Tennessee |
| Authorized Official Name and Position | Christopher Chad Smith (GENERAL DENTIST) |
| Authorized Official Contact | 9319242219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monteagle Family Dentistry, Pllc. 16 S Central Ave P.o. Box 219 Monteagle TN 37356-3075 Ph: (931) 924-2219 | Monteagle Family Dentistry, Pllc. 16 S Central Ave # 219 Monteagle TN 37356-3075 Ph: (931) 924-2219 |
| NPI Number | 1114234358 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 09/09/2010 |
| Medicare PECOS PAC ID | 3173824976 |
|---|---|
| Medicare Enrollment ID | O20151221002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114234358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS 8107 (Tennessee) | Primary |
| Provider Name | Christopher C Smith |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043437072 PECOS PAC ID: 8426359225 Enrollment ID: I20151221002449 |
Tun Tavern, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 S Central Ave, Monteagle, TN 37356 Phone: 931-220-9469 |