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Individual

DR. JOHN C. GUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2145 OLD ASHLAND CITY RD, CLARKSVILLE, TN 37043-4906
(931) 648-0819
Mailing address
2145 OLD ASHLAND CITY RD, CLARKSVILLE, TN 37043-4906
(931) 648-0819

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000005220
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
621624529
FEIN
TN
Enumeration date
08/12/2006
Last updated
07/17/2011
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