Organization
MCMINNVILLE SMILES, PLLC
Active
Other names
Dennis K. Jeter, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE DALLAS MANNING IV DDS (SOLE OWNER)
(931) 728-4143
Entity
Organization
Contact information
Practice address
100 MORRISON ST, MCMINNVILLE, TN 37110-2420
(931) 473-8506
Mailing address
1056 MCARTHUR ST, MANCHESTER, TN 37355-2454
(931) 728-4143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9694
TN
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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