Individual
DR. JOHN R COLLINS
Active
Individual
DR. JOHN R COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS4121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518969229
ORGANIZATION NPI
TN
01
—
1609878388
ORAGNIZATION NPI
TN
01
—
1972504389
ORGANIZATION NPI
TN
01
—
3726194
MEDICARE GROUP NUMBER
TN
Enumeration date
08/10/2005
Last updated
03/01/2012
Update your record
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