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Individual

MRS. JESSICA SPEARS DERUSHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
615 COMMONS DR, GALLATIN, TN 37066-6318
(615) 230-6611
(615) 230-6614
Mailing address
200 CARELLTON DR, GALLATIN, TN 37066-1426
(615) 406-7372

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6161
TN

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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