# JESSIE GREGG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841779915
- **Gender:** F
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10748 | TN | Yes |

## Other

- **Enumeration date:** 08/09/2018
- **Last updated:** 01/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 359990000 | US ARMY | TN |