Individual
DR. JENNY YOUNG SHUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
100 ENOCH BLVD, SAVANNAH, TN 38372-2229
(731) 925-3220
Mailing address
100 ENOCH BLVD, SAVANNAH, TN 38372-2229
(731) 925-3220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10900
TN
122300000X
Dentist
3588-11
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016287
—
MS
Enumeration date
06/13/2011
Last updated
11/13/2018
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