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Individual

DR. WARREN CLYDE FLEMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
228 PULASKI STREET, LAWRENCEBURG, TN 38464
(931) 762-3901
(931) 762-3991
Mailing address
228 PULASKI STREET, LAWRENCEBURG, TN 38464
(931) 762-3901
(931) 762-3991

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2912
TN
1223G0001X
General Practice Dentistry
DS002912
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017882
BCBST - ID #
TN
01
0017882
BLUECROSS BLUESHIELD
Enumeration date
10/06/2006
Last updated
11/01/2010
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