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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