Individual
DR. JOHN DANIEL STARTUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 WEST NORRIS RD, NORRIS, TN 37828-0127
(865) 494-7030
(865) 494-9571
Mailing address
PO BOX 127, 19 WEST NORRIS RD, NORRIS, TN 37828-0127
(865) 494-7030
(865) 494-9571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D54450
TN
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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