Individual
DR. JOHN LEANDER GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
312 E HOLLAND STR, SHELBYVILLE, TN 37160
(931) 684-4447
Mailing address
312 E HOLLAND STR, SHELBYVILLE, TN 37160
(931) 684-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 7768
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4049105
BLUE CROSS BLUE SHIELD
TN
Enumeration date
12/04/2006
Last updated
07/08/2007
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