Alfred Louis Redwine in Maryville - Dentist

Alfred Louis Redwine - NPI 1811966559

Alfred Louis Redwine is a Dentist in Maryville, Tennessee. Alfred Louis Redwine practices all healthcare services and medical treatments related to Dentist. The NPI Number for Alfred Louis Redwine is 1811966559. The last update date is 2007-07-08.

Alfred Louis Redwine's current location address is 1105 E Lamar Alexander Pkwy, Maryville, Tennessee. You can contact this provider via phone number 8659847757 and fax number 8659835265. The mailing address for Alfred Louis Redwine is 1105 E Lamar Alexander Pkwy, Maryville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Alfred Louis Redwine
Address 1105 E Lamar Alexander Pkwy, Maryville, Tennessee
Phone Number 8659847757
Fax Number 8659835265
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1811966559
Provider Enumeration Date 2006-03-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1105 E Lamar Alexander Pkwy
City Maryville
State Tennessee (TN)
Post Code 378045130
Phone Number 8659847757
Fax Number 8659835265

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS 3153
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Alfred Louis Redwine

What is the Alfred Louis Redwine's 1811966559?

The Alfred Louis Redwine's NPI (National Provider Identifier) Number is 1811966559. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Alfred Louis Redwine is physically located?

The Alfred Louis Redwine is physically situated at the following address: 1105 E Lamar Alexander Pkwy, Maryville, TN, 378045130.

What is Alfred Louis Redwine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Alfred Louis Redwine is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Alfred Louis Redwine receive its 1811966559 assignment from the Centers for Medicare & Medicaid Services?

The Alfred Louis Redwine was assigned its 1811966559 by the Centers for Medicare & Medicaid Services on 2006-03-15.

As of what date were the details pertaining to Alfred Louis Redwine last refreshed?

The information related to the Alfred Louis Redwine, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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