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Provider Information for 1679662829

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JIMMY B SHEATS II D.M.D.

Gender: MALE

Individual NPI: 1679662829

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1679662829
Enumeration Date 2006-10-12
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1915 CHARLOTTE AVE SUITE 205
NASHVILLE, TN 37203-2130
United States

Phone: 615-320-0099 | Fax: 615-825-0006
View Map External Link
Primary Practice Address 1915 CHARLOTTE AVE SUITE 205
NASHVILLE, TN 37203-2130
United States

Phone: 615-320-0099 | Fax: 615-825-0006
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223E0200X - Dentist Endodontics TN 7807