Whalio Doctors

NPI 1316271638

Casey Terry

Practitioner Dental Assistant Jacksboro, TN

Practice location

Address
162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507
Phone
(423) 562-8351
Fax
(423) 562-1593
Mailing address
162 Sharp and Perkins Rd P.O. Box 418, Jacksboro, TN 37757-2507

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence DA0000010658 (TN)

Registry record

NPI
1316271638
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Sep 2009
Record last updated
21 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.