Individual
DR. JOE THOMAS UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
415 E UNIVERSITY ST, LIVINGSTON, TN 38570-1511
(931) 823-5653
(931) 823-5654
Mailing address
415 E UNIVERSITY ST, LIVINGSTON, TN 38570-1511
(931) 823-5653
(931) 823-5654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 002720
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9179554
TENNCARE/ DORAL
TN
Enumeration date
08/19/2006
Last updated
07/21/2022
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