Individual
DR. JAMES LEWIS DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
104 BERRYWOOD DR, COLUMBIA, TN 38401-6408
(931) 380-1101
(931) 380-9172
Mailing address
104 BERRYWOOD DR, COLUMBIA, TN 38401-6408
(931) 380-1101
(931) 380-9172
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2313
TN
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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