Individual
DR. JASON LEE HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
327 N CEDAR AVE, COOKEVILLE, TN 38501-2420
(931) 528-5105
(931) 528-5118
Mailing address
PO BOX 357, COOKEVILLE, TN 38503-0357
(931) 528-5105
(931) 528-5118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8534
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440848
—
TN
Enumeration date
11/01/2006
Last updated
07/08/2007
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