| Pikeville Family Dentistry | |
|
3086 Main St Pikeville TN 37367 | |
| (423) 447-2421 | |
| Not Available |
| Full Name | Pikeville Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3086 Main St, Pikeville, Tennessee |
| Authorized Official Name and Position | Frederick Lee (DENTIST) |
| Authorized Official Contact | 4234880623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Family Dentistry Po Box 489 Pikeville TN 37367-0489 Ph: () - | Pikeville Family Dentistry 3086 Main St Pikeville TN 37367 Ph: (423) 447-2421 |
| NPI Number | 1215295514 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215295514 | NPI | - | NPPES |
| 1521399 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9096 (Tennessee) | Primary |