Provider Demographics
NPI:1114100070
Name:DOCTORS DUGAN AND DUGAN, LLC
Entity Type:Organization
Organization Name:DOCTORS DUGAN AND DUGAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:I
Authorized Official - Credentials:DDS
Authorized Official - Phone:423-745-5405
Mailing Address - Street 1:1132 W MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-4105
Mailing Address - Country:US
Mailing Address - Phone:423-745-5405
Mailing Address - Fax:
Practice Address - Street 1:1132 W MADISON AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-4105
Practice Address - Country:US
Practice Address - Phone:423-745-5405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000001804261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental