Individual
DR. JACK TOWLER BAUGUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
6311 KINGSTON PIKE, 6W, KNOXVILLE, TN 37919
(865) 588-5778
(865) 588-5780
Mailing address
6311 KINGSTON PIKE, 6W, KNOXVILLE, TN 37919
(865) 588-5778
(865) 588-5780
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS0000001094
TN
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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