Individual
DR. JOHN PICKARD PRIMM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4527 HWY 70 EAST, WHITE BLUFF, TN 37187
(615) 797-2298
(615) 797-9958
Mailing address
PO BOX 176, WHITE BLUFF, TN 37187-0176
(615) 797-2298
(615) 797-9958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000002902
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004216
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/17/2006
Last updated
07/08/2007
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