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DR. JOSEPH CLINTON HURLEY DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1235239237
Individual Registrant:DR. JOSEPH CLINTON HURLEY DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3231 ROY MESSER HWY WHITE PINE, TN 37890 US
Tel: 865-674-2541 Fax: 865-674-6484
Tel: 865-674-2541 Fax: 865-674-6484
Contact information for business:
PO BOX 769 WHITE PINE, TN 37890 US
Tel: (86-5) -674-2541 Fax: 865-674-6484
Tel: (86-5) -674-2541 Fax: 865-674-6484
Registration Information:
NPI: 1235239237
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | TN | DS005279 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 3225792 | TN | 05 | |
| LICENSE | DS005279 | TN | 01 |
