Provider Demographics
NPI:1205725397
Name:HURLEY, REXX D (DDS)
Entity type:Individual
Prefix:
First Name:REXX
Middle Name:D
Last Name:HURLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231 ROY MESSER HWY
Mailing Address - Street 2:
Mailing Address - City:WHITE PINE
Mailing Address - State:TN
Mailing Address - Zip Code:37890-3516
Mailing Address - Country:US
Mailing Address - Phone:865-674-2541
Mailing Address - Fax:865-674-6484
Practice Address - Street 1:3231 ROY MESSER HWY
Practice Address - Street 2:
Practice Address - City:WHITE PINE
Practice Address - State:TN
Practice Address - Zip Code:37890-3516
Practice Address - Country:US
Practice Address - Phone:865-674-2541
Practice Address - Fax:865-674-6484
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN128571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice