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Individual

DR. JANET H SOUTHERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MPH, PHD

Contact information

Practice address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-6180
Mailing address
2300 FRANKLIN PIKE APT 507, NASHVILLE, TN 37204-2324
(615) 218-6928

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5961
NC
1223G0001X
General Practice Dentistry
9263
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3717679
TN
01
90130
BCBS
Enumeration date
04/20/2007
Last updated
09/16/2015
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