| NPI | 1649567025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PITTMAN President 423-989-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN DS8239) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |