Provider Demographics
NPI:1376659169
Name:MABRY, AKHRASS & MCCARY, DDS, LLP
Entity Type:Organization
Organization Name:MABRY, AKHRASS & MCCARY, DDS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHRASS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:865-986-0842
Mailing Address - Street 1:603 HWY 321 N.
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771
Mailing Address - Country:US
Mailing Address - Phone:865-986-0842
Mailing Address - Fax:865-986-6459
Practice Address - Street 1:603 HIGHWAY 321 N
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-6575
Practice Address - Country:US
Practice Address - Phone:865-986-0842
Practice Address - Fax:865-986-6459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS44801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty