IndividualActive
Adrian Mccoy, DDS
NPI 1457358954 · Dentist · Cleveland, TN
Provider details
- NPI number
- 1457358954
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS0000002113 (TN)
Specialties & taxonomies
Dental Providers
Practice location
165 Mouse Creek Rd Nw
Cleveland, TN 37312-3818
Phone: (423) 479-2854
Fax: (423) 479-5393
Approximate (ZIP-level) locationGet directions
Mailing address
165 Mouse Creek Rd Nw
Cleveland, TN 37312-3818
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.