Individual
DR. JERRY A GILPIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
776 S MAIN ST, ASHLAND CITY, TN 37015-1405
(615) 792-4238
(615) 792-1895
Mailing address
776 S MAIN ST, ASHLAND CITY, TN 37015-1405
(615) 792-4238
(615) 792-1895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4586
KY
122300000X
Dentist
Primary
DS0000005054
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104978
BLUE CROSS BLUE SHIELD
TN
05
—
3225540
—
TN
01
—
630215
UNITED CONCORDIA
TN
Enumeration date
11/21/2005
Last updated
07/08/2007
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