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North River Perio Pllc
Periodontist in Hixson, Tennessee
NPI 1477049542

North River Perio Pllc is a Periodontist based in Hixson, TN and is specialized in Periodontics. North River Perio Pllc practices in Hixson, TN. The NPI Number for North River Perio Pllc is 1477049542 and holds a License No. 7108 (Tennessee).

The current practice location address for North River Perio Pllc is 5022 Old Godsey Ln Ste 1, Hixson, TN and can be reached out via phone at 423-870-9567 and via fax at 423-870-5331.

Location: 5022 Old Godsey Ln Ste 1, Hixson, TN, 37343-6604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477049542
Provider Name
North River Perio Pllc
Credential
Provider Entity Type
Organization
Address
5022 Old Godsey Ln Ste 1, Hixson, TN, 37343-6604
Phone Number
423-870-9567
Fax Number
423-870-5331
Provider Enumeration Date
07/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720292907 01 TN CHARLES L MCBRAYER DDS
institution
Provider Business Practice Location Address Details
Address
5022 Old Godsey Ln Ste 1
City
Hixson
State
Tennessee
Zip
37343-6604
Phone Number
423-870-9567
Fax Number
423-870-5331
person
Provider Business Mailing Address Details
Address
5022 Old Godsey Ln Ste 1
City
Hixson
State
Tennessee
Zip
37343-6604
Phone Number
423-870-9567
Fax Number
423-870-5331
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
7108 (Tennessee)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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