Individual
BAYLOR TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
415 25TH ST NW, CLEVELAND, TN 37311-3892
(423) 650-5397
Mailing address
415 25TH ST NW, CLEVELAND, TN 37311-3892
(423) 650-5397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12242
TN
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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