Individual
MS. DAWN EILENNE FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6001 JACKSON SQUARE BLVD., STE. 1001, LAVERGNE, TN 37086
(615) 280-2667
(517) 882-5808
Mailing address
710 RIATA CT., SMYRNA, TN 37167
(517) 303-1777
(517) 882-5808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10659
TN
1223G0001X
General Practice Dentistry
2901016071
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4445960
—
MI
Enumeration date
01/16/2007
Last updated
05/16/2019
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