Mccord, Paul Thomas

Mccord, Paul Thomas is an individual health care provider with primary practice located at 2222 Chambliss Ave Nw , Cleveland TN 37311-3874. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mccord, Paul Thomas can be contacted via phone (423) 479-8544.

Contact Information

Primary practice address
2222 Chambliss Ave Nw Cleveland TN 37311-3874
Phone: (423) 479-8544
Fax: (423) 479-1444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3297 Tennessee
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DS3297 Tennessee

Profile Details

NPI number 1366435711
LBN Legal business name Mccord, Paul Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 5th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366435711 NPPES
Tennessee Other 2009217 BCBS TN
Tennessee Other 439950 BCBS TN

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