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Contact Information

GREENVILLE DENTAL ASSOCIATES, PLLC
1308 TUSCULUM BLVD.
GREENEVILLE, TN37745
 Phone: 423-639-6120
 Fax: 423-525-4580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GREENVILLE DENTAL ASSOCIATES PLLC · (Female)

NPI # 1043458128
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2009
Last updated 01/18/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 7991
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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