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DR. GORDON F MCCAMMON D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1285702480

Individual Registrant:
DR. GORDON F MCCAMMON D.D.S
Gender: M
Sole Proprietor

Location and contact information for practice:
3515 OLD CLARKSVILLE PIKE  JOELTON, TN 37080-8892 US
Tel: 615-876-0084  Fax: 615-847-1127

Contact information for business:
PO BOX 127 3515 OLD CLARKSVILLE PKE JOELTON, TN 37080-0127 US
Tel: 615-876-0084  Fax: 615-847-1127

Registration Information:
NPI: 1285702480
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TNDS2479

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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