Jeffrey L. Brewer DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5308 Issued in TN

Legal business name

JEFFREY L. BREWER DDS PC

Practice address

10298 Walden St
Soddy Daisy, TN 37379-5152

Phone

(423) 332-3431

Fax

(423) 332-5848

NPI assigned

Jun 14, 2011

Last updated

Jun 14, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey L Brewer, DDS

Title

Owner

Phone

(423) 332-3431

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1073808457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10298 WALDEN ST",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795152",
            "telephone_number": "423-332-3431",
            "fax_number": "423-332-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10298 WALDEN ST",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795152",
            "telephone_number": "423-332-3431",
            "fax_number": "423-332-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. BREWER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-332-3431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HP/Soddy Daisy of Tennessee, Inc. (Soddy Daisy Convalescent Center)
• I Care Eyecare
• Independent Physical Therapy LLC
• Kelly Catheryn Ireland, DPT
• Deborah Jackson, RN BSN CCM
• Ashley L Johnson, CPHT
• Sonya Lashawn Johnson, MD
• Marcus Jones
• Joseph Sease DMD PLCC (Soddy Daisy Pediatric Dentistry)
• Shahla Amjad Kaukab, M.D.

• General Practice Dentistry in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.