Joseph Clinton Hurley, DDS
Individual provider Active NPI General Practice Dentistry · White Pine, TN
NPI 1235239237 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1235239237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS005279 (TN)
- Practice address
- 3231 Roy Messer Hwy
White Pine, TN 37890 - Phone
- (865) 674-2541
- Fax
- (865) 674-6484
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS005279 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Family Dentistry | Current |
Accepting new patients |
Locations
3231 Roy Messer Hwy
White Pine, TN 37890
Phone (865) 674-2541
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS005279 | TN | Yes |
Addresses
Primary practice location
3231 Roy Messer Hwy
White Pine, TN 37890
Mailing address
PO Box 769
White Pine, TN 37890
Phone (865) 674-2541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3225792 | Medicaid | TN | |
| DS005279 | Other | TN | LICENSE |
Other names
- J Clint Hurley
Other providers in White Pine, TN
- Grace Healthcare Group PLLC
- Healthstar Physicians, PC
- Carrie Lynn Henry
- Julie D Hubbard
- Hurley Family Dentistry
- Rexx D Hurley
- Mark Alvin Jaynes
- Jefferson County Nursing Home
- Stacy Danielle Jordan
- K VA T Food Stores Inc
All providers in White Pine, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.