Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 9510 | TN |
NPI | 1003179334 |
---|---|
Provider Name | Dr. Joseph Allen Volner |
First Address | Bartlett, TN 38134-2882 |
Second Address | Bartlett, TN 38134-2882 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2012 |
Last Update Date | 22/04/2013 |