# JER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAIN STREET DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326434085
- **Authorized official:** DR. JODI E RUMP DDS (OWNER)
- **Authorized official phone:** (901) 527-0716

## Contact information

- **Practice address:** 99 S MAIN ST, MEMPHIS, TN 38103-2910
- **Practice address phone:** (901) 527-0716
- **Practice address fax:** (901) 527-0718
- **Mailing address:** 99 S MAIN ST, MEMPHIS, TN 38103-2910
- **Mailing address phone:** (901) 527-0716
- **Mailing address fax:** (901) 527-0718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS0000007994 | TN | Yes |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015