Individual
DR. JEFFREY L FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 MORTON ST, PARIS, TN 38242-4210
(731) 642-3059
Mailing address
715 MORTON ST, PARIS, TN 38242-4210
(731) 642-3059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8547
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4130884
BLUE CROSS BLUE SHIELD
TN
01
—
9184071
TENNCARE PROVIDER NUMBER
TN
Enumeration date
10/25/2006
Last updated
07/08/2007
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