Provider Demographics
NPI:1073193678
Name:GOLDEN RULE DENTAL, INC.
Entity Type:Organization
Organization Name:GOLDEN RULE DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:GRAYSON
Authorized Official - Middle Name:TUCKER
Authorized Official - Last Name:HUNLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:865-588-4472
Mailing Address - Street 1:4714 PAPERMILL DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1972
Mailing Address - Country:US
Mailing Address - Phone:865-588-4472
Mailing Address - Fax:
Practice Address - Street 1:4714 PAPERMILL DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1972
Practice Address - Country:US
Practice Address - Phone:865-588-4472
Practice Address - Fax:865-909-0188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty