# DR. JOHN T MANN DDS

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

## Provider details

- **NPI number:** 1619182292
- **Authorized official:** JOHN T MANN DDS (GENERAL)
- **Authorized official phone:** (931) 363-8992

## Contact information

- **Practice address:** 601 E COLLEGE ST, PULASKI, TN 38478
- **Practice address phone:** (931) 363-8992
- **Practice address fax:** (931) 363-1811
- **Mailing address:** 601 E COLLEGE ST, PULASKI, TN 38478
- **Mailing address phone:** (931) 363-8992
- **Mailing address fax:** (931) 363-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3808 | TN | — |
| 1223G0001X | General Practice Dentistry | 3808 | TN | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 07/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103807 | — | TN |