Prohealth Senior Services of Virginia

NPI #1104314624 in Maryville, Tennessee

Provider Information

NPI Number: 1104314624
Entity Type: Organization
Organization Name: Prohealth Senior Services of Virginia
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 30, 2018
Last Updated: Apr 30, 2018

Practice Location

Address: 811 HIGH ST
City: Maryville
State: Tennessee
ZIP Code: 37804-5030
Phone: (844) 700-0088

Authorized Official

Name: DR. WILLIAM F PROFFITT JR., DDS
Title: OWNER
Phone: (844) 700-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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