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NPI 1316334071 · live from the CMS NPI Registry

John Marshall Jewett, D.M.D.

Dentist, Orthodontics and Dentofacial Orthopedics in Johnson City, TN. National Provider Identifier 1316334071, active.

NPI record

NPI1316334071 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location2333 Knob Creek Rd Ste 10, Johnson City, TN 37604
Practice phone423-854-8830
EnumeratedApril 21, 2015
Last updatedApril 16, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400XDS0000010595 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.