Bristol Oral/Maxillofacial Surgery
LBN: Donald S. Redford, D.D.S, P.C
Bristol Oral/Maxillofacial Surgery is an health care organization with primary practice located at 350 Blountville Hwy Suite 204, Bristol TN 37620-0213. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Donald S. Redford, D.D.S, P.C can be contacted via phone (423) 968-4114, or through Redford, Donald Smith via phone (423) 968-4114.
Contact Information
Primary practice address
350 Blountville Hwy Suite 204
Bristol TN 37620-0213
Phone: (423) 968-4114
Fax: (424) 968-4294
Website:
Authorized official contact:
Name: Redford, Donald Smith Doctor of Dental Surgery (DDS)
Phone: (423) 968-4114
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS003845 | Tennessee |
Profile Details
| NPI number | 1134391154 |
|---|---|
| LBN Legal business name | Donald S. Redford, D.D.S, P.C |
| DBA Doing business as | Bristol Oral/Maxillofacial Surgery |
| Authorized official | Redford, Donald Smith Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Aug 10th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134391154 | NPPES |
| Tennessee | MEDICAID | 0020203 | |
| Tennessee | MEDICAID | 008019894 |
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