Individual
DR. JAY ALLEN BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
222 HEADTOWN ROAD, SUITE #1, JONESBOROUGH, TN 37659-6175
(423) 753-9191
(423) 753-9644
Mailing address
PO BOX 455, JONESBOROUGH, TN 37659-0455
(423) 753-9191
(423) 753-9644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3984
TN
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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