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General NPI Number Information
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NPI Number | 1013773605
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Entity Type | Organization
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Legal Business Name | GLENNHILL FAMILY DENTISTRY
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 1106 GLENNHILL LN
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City | SEVIERVILLE
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State | TN
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Zip | 37862-6915
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Country | US
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Telephone | 770-307-8726
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 GLENNHILL LN
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City | SEVIERVILLE
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State | TN
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Zip | 37862-6915
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Country | US
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Telephone | 770-307-8726
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SCOT ARMTRONG
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Credential |
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Telephone | 770-307-8726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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