OrganizationActive
Maryville Modern Dentistry, PC
NPI 1679056683 · Dentist · Alcoa, TN
Maryville Modern Dentistry, PC is a Dentist organization in Alcoa, TN (NPI 1679056683).
Provider details
- NPI number
- 1679056683
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Philip Bates, Owner/Dds(865) 223-6705
Practice location
1053 Hunters Xing
Alcoa, TN 37701-1850
Phone: (865) 223-6705
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Registry dates
- Enumerated
- 2018-09-14
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.