Bristol Dental Group, PC

NPI #1649567025 in Bristol, Tennessee

Provider Information

NPI Number: 1649567025
Entity Type: Organization
Organization Name: Bristol Dental Group, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 6, 2011
Last Updated: Jul 6, 2011

Practice Location

Address: 332 6TH ST
City: Bristol
State: Tennessee
ZIP Code: 37620-2201
Phone: (423) 989-3000

Authorized Official

Name: DR. JASON PITTMAN
Title: PRESIDENT
Phone: (423) 989-3000

Specialties & Taxonomy Codes

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

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