Individual
JERRIE J RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4845 HIXSON PIKE STE C, HIXSON, TN 37343-4466
(423) 877-3848
(423) 877-3726
Mailing address
4845 HIXSON PIKE STE C, HIXSON, TN 37343-4466
(423) 877-3848
(423) 877-3726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3483
TN
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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