Individual
DR. JOHN MINICK NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1030 W MAIN ST, LEBANON, TN 37087-3345
(615) 444-3932
Mailing address
1030 W MAIN ST, LEBANON, TN 37087-3345
(615) 444-3932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
151054
NC
Other
Enumeration date
07/06/2015
Last updated
06/10/2016
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