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Maryville Dental, Pllc.
Dental Clinic/Center in Maryville, Tennessee
NPI 1336863257

Maryville Dental, Pllc. is a Dental Clinic/Center based in Corryton, TN and is specialized in Dental. Maryville Dental, Pllc. practices in Maryville, TN. The NPI Number for Maryville Dental, Pllc. is 1336863257 and holds a License No. (Tennessee).

The current practice location address for Maryville Dental, Pllc. is 1765 W Broadway Ave, Maryville, TN and can be reached out via phone at 865-440-1526.

Location: 1765 W Broadway Ave, Maryville, TN, 37721-3735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336863257
Provider Name
Maryville Dental, Pllc.
Credential
Provider Entity Type
Organization
Address
1765 W Broadway Ave, Maryville, TN, 37721-3735
Phone Number
865-440-1526
Fax Number
Provider Enumeration Date
10/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1765 W Broadway Ave
City
Maryville
State
Tennessee
Zip
37801-5509
Phone Number
865-440-1526
Fax Number
person
Provider Business Mailing Address Details
Address
1765 W Broadway Ave
City
Maryville
State
Tennessee
Zip
37801-5509
Phone Number
865-440-1526
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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