MEDICARE: DENNIS A BETTS MD

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
1	208000000X	Pediatrics Physician	MD0000029066	TN
2	208000000X	Pediatrics Physician	29066	TN

General Provider Information

NPI Number	:	1801860234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS A BETTS MD

Provider Business Mailing Address
First Line	:	1060 PEERLESS CROSSING
Second Line	:	SUITE 100
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3784
Country	:	US
Telephone Number	:	423-339-5656
Fax Number	:	423-339-8889

Provider Business Practice Location Address
First Line	:	1060 PEERLESS CROSSING
Second Line	:	SUITE 100
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3784
Country	:	US
Telephone Number	:	423-339-5656
Fax Number	:	423-339-8889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	11/01/2010

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Directions to “ DENNIS A BETTS MD” Practice Location

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