Individual
JAMES E COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1813 WILSON PKWY, FAYETTEVILLE, TN 37334-3546
(931) 433-5914
(931) 433-7481
Mailing address
PO BOX 1046, FAYETTEVILLE, TN 37334-1046
(931) 433-5914
(931) 433-7481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4139
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116983
BCBS TN PROVIDER NUMBER
TN
Enumeration date
09/25/2006
Last updated
07/08/2007
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