| Tennessee Dental Health Services Pllc | |
|
550 Ballards Private Dr Blountville TN 37617-5200 | |
| (423) 323-2967 | |
| Not Available |
| Full Name | Tennessee Dental Health Services Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 550 Ballards Private Dr, Blountville, Tennessee |
| Authorized Official Name and Position | Douglas Mullins (MEMBER MANAGER) |
| Authorized Official Contact | 4233232967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Dental Health Services Pllc 550 Ballards Private Dr Blountville TN 37617-5200 Ph: (423) 323-2967 | Tennessee Dental Health Services Pllc 550 Ballards Private Dr Blountville TN 37617-5200 Ph: (423) 323-2967 |
| NPI Number | 1972940161 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972940161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6820 (Tennessee) | Secondary |
| 261QD0000X | Clinic/center - Dental | 6820 (Tennessee) | Primary |
Dr. G. Andrew Agett, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 193 Franklin Dr, Blountville, TN 37617 Phone: 423-323-3321 Fax: 423-323-3271 |