Masterpiece Family & Cosmetic Dentistry

NPI #1811619596 in Clinton, Tennessee

Provider Information

NPI Number: 1811619596
Entity Type: Organization
Organization Name: Masterpiece Family & Cosmetic Dentistry
Primary Specialty: Dentist
Enumeration Date: Sep 19, 2022
Last Updated: Sep 19, 2022

Practice Location

Address: 515 BETHEL RD
City: Clinton
State: Tennessee
ZIP Code: 37716-6645
Phone: (865) 494-0634

Authorized Official

Name: DR. MICHAEL DEREK GOODMAN, DDS
Title: DENTIST
Phone: (865) 806-0620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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