Individual
JEFFREY A CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2175 CHAMBLISS AVE NW, SUITE C, CLEVELAND, TN 37311-3842
(423) 479-5966
Mailing address
2175 CHAMBLISS AVE NW, SUITE C, CLEVELAND, TN 37311-3842
(423) 479-5966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN011354
GA
1223G0001X
General Practice Dentistry
Primary
DS7104
TN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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