Healthcare Provider Details

I. General information

NPI: 1578433496
Provider Name (Legal Business Name): HURLEY FAMILY DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 ROY MESSER HWY
WHITE PINE TN
37890-3516
US

IV. Provider business mailing address

3231 ROY MESSER HWY
WHITE PINE TN
37890-3516
US

V. Phone/Fax

Practice location:
  • Phone: 865-674-2541
  • Fax: 865-674-6484
Mailing address:
  • Phone: 865-674-2541
  • Fax: 865-674-6484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: SHARON SHAFFER
Title or Position: RDA/OFFICE MANAGER
Credential:
Phone: 865-674-2541