Organization
F. JEROME BURR, DDS, MDS, PLLC
Active
Organization
F. JEROME BURR, DDS, MDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK JEROME BURR D.D.S., M.D.S. (ORTHODONTIST)
(615) 390-1002
Entity
Organization
Contact information
Practice address
314 E COLLEGE ST, DICKSON, TN 37055-1832
(615) 446-6041
(615) 446-6094
Mailing address
1232 CAMP RAVINE RD, BURNS, TN 37029-5259
(615) 218-7770
(615) 446-6094
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8270
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441633
—
TN
Enumeration date
03/24/2008
Last updated
03/24/2008
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