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NPI Code Detail

MEDICARE: DR. DILLON HOUSTON CUTSHAW DDS

MEDICARE: DR. DILLON HOUSTON CUTSHAW DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist12529TN

General Provider Information

NPI Number : 1760227938
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DILLON HOUSTON CUTSHAW DDS
Provider Business Mailing Address
First Line : 2141 OLD CHILHOWEE RD
Second Line :
City : SEYMOUR
State : TN
Zip : 37865-3745
Country : US
Telephone Number : 865-332-8295
Fax Number :
Provider Business Practice Location Address
First Line : 245 MIDWAY MEDICAL PARK
Second Line :
City : BRISTOL
State : TN
Zip : 37620-1653
Country : US
Telephone Number : 423-652-0260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 06/28/2024

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Directions to “ DR. DILLON HOUSTON CUTSHAW DDS” Practice Location

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