| Mouse Creek Dental Care | |
|
609 Paul Huff Pkwy Nw Cleveland TN 37312-2970 | |
| (423) 244-0783 | |
| Not Available |
| Full Name | Mouse Creek Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 609 Paul Huff Pkwy Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mouse Creek Dental Care 609 Paul Huff Pkwy Nw Cleveland TN 37312-2970 Ph: (423) 244-0783 | Mouse Creek Dental Care 609 Paul Huff Pkwy Nw Cleveland TN 37312-2970 Ph: (423) 244-0783 |
| NPI Number | 1023572096 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023572096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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