Individual
JESSE STEVEN POLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1605 WILLIAMS RD, HIXSON, TN 37343-4934
(423) 843-0418
Mailing address
1605 WILLIAMS RD, HIXSON, TN 37343-4934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11306
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2020
Last updated
08/06/2020
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