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Elite Dental Pllc

NPI #1649576935 in Dandridge, Tennessee

Provider Information

NPI Number
1649576935
Entity Type
Organization
Organization Name
Elite Dental Pllc
Primary Specialty
Dentist
Enumeration Date
Feb 3, 2011
Last Updated
Feb 3, 2011

Practice Location

Address
334 HIGHWAY 92 SOUTH
Address 2
SUITE 1
City
Dandridge
State
Tennessee
ZIP Code
37725
Phone
(865) 397-5422

Authorized Official

Name
GEORGE FRANKLIN JOHNSON III, DMD
Title
DENTIST/PRESIDENT
Phone
(865) 397-5422

Specialties & Taxonomy Codes

Specialty
Dentist

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