Individual
DR. JONATHAN FELIPE CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
815 GALLATIN AVE, NASHVILLE, TN 37206-3239
(629) 202-4955
Mailing address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7834
(252) 737-7853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11074
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2019
Last updated
03/02/2022
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