Individual
JEFFERSON TWOMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1414 JENKINS RD STE 146, CHATTANOOGA, TN 37421-3470
(423) 541-3777
Mailing address
1802 MARA DR, CHATTANOOGA, TN 37421-2753
(504) 239-2498
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10898
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S-850
LA
Other
Enumeration date
04/12/2017
Last updated
08/13/2019
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