Individual
DR. JARED KIRBY FAUSNAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1730 LEE VICTORY PKWY, SMYRNA, TN 37167-6674
(801) 717-6505
Mailing address
1730 LEE VICTORY PKWY, SMYRNA, TN 37167-6674
(801) 717-6505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12717
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
03/27/2024
Last updated
01/26/2026
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