Organization · Type 2 NPI
Country Creek Dental PLLC
Dental Clinic/Center · Alcoa, TN
NPI number
1306357447
Active
Practice location
207 Kings Ct
Alcoa, TN 37701-1939
Mailing address
7605 Gilmore Ln
Corryton, TN 37721-4128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 10031 (TN) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1306357447
Country Creek Dental PLLC's National Provider Identifier is 1306357447, issued on Oct 16, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Alcoa, TN. The record was last updated on Oct 16, 2017.