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Individual

SUSAN JONES SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
323 S CONCORD ST, KNOXVILLE, TN 37919-3304
(865) 637-5708
Mailing address
4641 COBBLESTONE CIR, KNOXVILLE, TN 37938-3208
(865) 591-5182

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4575
TN

Other

Enumeration date
06/10/2022
Last updated
06/10/2022
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