Organization
JOHN T. WILL, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY P. TIDWELL (BUSINESS MANAGER)
(931) 762-5525
Entity
Organization
Contact information
Practice address
234 EAST GAINES ST, LAWRENCEBURG, TN 38464
(931) 762-5525
(931) 762-5546
Mailing address
234 E GAINES ST, LAWRENCEBURG, TN 38464-3343
(931) 762-5525
(931) 762-5546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS9109
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519477
—
TN
Enumeration date
07/19/2011
Last updated
07/19/2011
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