| NPI | 1609392075 |
|---|---|
| Former Legal Business Name | DENNIS K. JETER, D.D.S. |
| Entity Type | Organization |
| Authorized Contact | CHARLIE DALLAS MANNING Sole Owner 931-728-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 9694) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |