Organization
DR. JOHN T MANN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T MANN DDS (GENERAL)
(931) 363-8992
Entity
Organization
Contact information
Practice address
601 E COLLEGE ST, PULASKI, TN 38478
(931) 363-8992
(931) 363-1811
Mailing address
601 E COLLEGE ST, PULASKI, TN 38478
(931) 363-8992
(931) 363-1811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3808
TN
1223G0001X
General Practice Dentistry
Primary
3808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103807
—
TN
Enumeration date
05/14/2007
Last updated
07/17/2007
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