Individual
JESSICA EVAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH (REGISTERED DENT
Contact information
Practice address
4601 BRAINERD RD, CHATTANOOGA, TN 37411
(423) 698-6005
(423) 698-6410
Mailing address
4601 BRAINERD RD, CHATTANOOGA, TN 37411
(423) 698-6005
(423) 698-6410
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000008919
TN
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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