Dr. Bruce A Jenkins, D.D.S.
Dentist, General Practice in Lewisburg, TN. Individual provider (NPI-1).
NPI number1821216755
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821216755
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce A Jenkins
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | TN3784 | TN | Yes |
Practice location
302 W Church StLewisburg, TN 37091-2730
Phone 931-359-6154 · Fax 931-359-9966
Mailing address
302 W Church StLewisburg, TN 37091-2730
Phone 931-359-6154 · Fax 931-359-9966
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