Individual
SYDNEY FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 NEAL ST, COOKEVILLE, TN 38501-0906
(931) 400-2089
Mailing address
1051 NEAL ST, COOKEVILLE, TN 38501-0906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0000012103
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2022
Last updated
06/28/2023
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