Individual
DR. JEREMY CHARLES SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1005 DR. D.B TODD JR. BLVD, NASHVILLE, TN 37208-3720
(615) 327-6900
Mailing address
1206 JACKSON ST APT 4, NASHVILLE, TN 37208-3067
(404) 680-0393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10958
TN
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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