Individual
DR. AMY THERIAC DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
608 S TRENTON ST, RUTHERFORD, TN 38369-9715
(731) 665-6650
(731) 665-6651
Mailing address
PO BOX 38, 608 S. TRENTON ST, RUTHERFORD, TN 38369-0038
(731) 665-6650
(731) 665-6651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8252
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440201
—
TN
Enumeration date
10/25/2005
Last updated
09/18/2013
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