# JOHN T. WILL, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548558943
- **Authorized official:** AMY P. TIDWELL (BUSINESS MANAGER)
- **Authorized official phone:** (931) 762-5525

## Contact information

- **Practice address:** 234 EAST GAINES ST, LAWRENCEBURG, TN 38464
- **Practice address phone:** (931) 762-5525
- **Practice address fax:** (931) 762-5546
- **Mailing address:** 234 E GAINES ST, LAWRENCEBURG, TN 38464-3343
- **Mailing address phone:** (931) 762-5525
- **Mailing address fax:** (931) 762-5546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS9109 | TN | Yes |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 07/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1519477 | — | TN |