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Organization
MCLEMORE & MCLEMORE DDS COSMETIC AND FAMILY DENTISTRY
Active
Organization
MCLEMORE & MCLEMORE DDS COSMETIC AND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PETER MCLEMORE III DDS (DENTIST/OWNER)
(731) 424-2651
Entity
Organization
Contact information
Practice address
211 OIL WELL RD, JACKSON, TN 38305-7924
(731) 424-2651
(731) 424-2653
Mailing address
211 OIL WELL RD, JACKSON, TN 38305
(731) 424-2651
(731) 424-2653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4243
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061546
BCBS
TN
01
—
00839357
UNITED CONCORDIA
TN
01
—
01414019
UNITED CONCORDIA
TN
01
—
03153366
BCBS TN
TN
05
—
181433 LOCATION ID
—
TN
Enumeration date
03/26/2008
Last updated
03/26/2008
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