Individual
DR. JEFFREY PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4205 HILLSBORO PIKE STE 101, NASHVILLE, TN 37215-3381
(615) 297-8973
Mailing address
4205 HILLSBORO PIKE STE 101, NASHVILLE, TN 37215-3381
(615) 297-8973
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
ETN472
TX
Other
Enumeration date
01/04/2017
Last updated
12/10/2019
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