Individual
JANA GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1357 INTERSTATE DR, CROSSVILLE, TN 38555-6184
(931) 787-1277
Mailing address
1676 TED DAVIS RD, CROSSVILLE, TN 38572-3152
(423) 718-1720
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0000004983
TN
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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