Mark a.Collins
Organization Active NPI Dentist · Jacksboro, TN
NPI 1366738205 · NPPES record last updated Jun 20, 2011
Key facts
- NPI
- 1366738205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- DS0000008223 (TN)
- Legal business name
- MARK A.COLLINS
- Practice address
- 3088 Appalachian Hwy Ste 2
Jacksboro, TN 37757-2526 - Phone
- (423) 566-8248
- Fax
- (423) 566-8247
- NPI assigned
- Jun 20, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Anthony Collins, DMD
- Title
- Dentist/Owner
- Phone
- (423) 566-8248
Practitioners 1
-
Mark Anthony Collins, DMD
National Provider Directory
Locations
3088 Appalachian Hwy
#2
Jacksboro, TN 37757
Phone (423) 566-8248
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | DS0000008223 | TN | Yes |
Addresses
Primary practice location
3088 Appalachian Hwy Ste 2
Jacksboro, TN 37757-2526
Mailing address
3088 Appalachian Hwy Ste 2
Jacksboro, TN 37757-2526
Phone (423) 566-8248
Other providers in Jacksboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2011. 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.