Mack Robert Watlington in Lookout Mtn - General Practice

Mack Robert Watlington - NPI 1427030568

Mack Robert Watlington is a General Practice in Lookout Mtn, Tennessee. Mack Robert Watlington practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mack Robert Watlington is 1427030568. The last update date is 2007-07-08.

Mack Robert Watlington's current location address is 120 N Watauga Ln, Lookout Mtn, Tennessee. You can contact this provider via phone number 4238217508 and fax number 4238215432. The mailing address for Mack Robert Watlington is 120 N Watauga Ln, Lookout Mtn, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Mack Robert Watlington
Address 120 N Watauga Ln, Lookout Mtn, Tennessee
Phone Number 4238217508
Fax Number 4238215432
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1427030568
Provider Enumeration Date 2005-11-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 120 N Watauga Ln
City Lookout Mtn
State Tennessee (TN)
Post Code 373501356
Phone Number 4238217508
Fax Number 4238215432

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3283
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34118 TN BLUE CROSS BLUE SHIELD

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FAQs about Mack Robert Watlington

What is the unique identification code assigned to Mack Robert Watlington by the Centers for Medicare & Medicaid Services?

The Mack Robert Watlington has been issued the NPI (National Provider Identifier) 1427030568. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mack Robert Watlington is physically located?

The Mack Robert Watlington is physically situated at the following address: 120 N Watauga Ln, Lookout Mtn, TN, 373501356.

What is the area of specialization for Mack Robert Watlington, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mack Robert Watlington is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Mack Robert Watlington receive its 1427030568 assignment from the Centers for Medicare & Medicaid Services?

The Mack Robert Watlington was assigned its 1427030568 by the Centers for Medicare & Medicaid Services on 2005-11-15.

As of what date were the details pertaining to Mack Robert Watlington last refreshed?

The information related to the Mack Robert Watlington, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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