Individual
JACOB COLE STEGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6611 KIRBY CENTER CV, MEMPHIS, TN 38115-4313
(901) 363-8192
Mailing address
520 ALEXANDER ST, MEMPHIS, TN 38111-4310
(731) 445-1928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11735
TN
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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