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DR. JOSEPH CLINTON HURLEY DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1235239237

Individual Registrant:
DR. JOSEPH CLINTON HURLEY DDS
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

Contact information for business:
PO BOX 769  WHITE PINE, TN 37890 US
Tel: (86-5) -674-2541  Fax: 865-674-6484

Registration Information:
NPI: 1235239237
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TNDS005279

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
3225792TN05
LICENSEDS005279TN01




HEALTH CARE JOBS TN - Page 1



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