Dr. John T Mann DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3808 Issued in TN

Legal business name

DR. JOHN T MANN DDS

Practice address

601 E College St
Pulaski, TN 38478

Phone

(931) 363-8992

Fax

(931) 363-1811

NPI assigned

May 14, 2007

Last updated

Jul 17, 2007By 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

John T Mann, DDS

Title

General

Phone

(931) 363-8992

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1619182292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "931-363-8992",
            "fax_number": "931-363-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "931-363-8992",
            "fax_number": "931-363-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN T MANN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GENERAL",
        "authorized_official_telephone_number": "931-363-8992",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "3808",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "3808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103807",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Alexis Davis, BSW
• Della Mae Deventuri, LMT
• Dialysis Associates, LLC (Fresenius Medical Care Pulaski)
• Pamela Ables Dockery, BS
• Mary Lauren Doggett, NP-C
• Dr. Tesa H. Jolly
• Gregory Guy Dugger
• Taylor Jenkins Dunnavant, DPT
• Hayley Ann Evans, M.S.
• F. Vincent, PLLC

• General Practice Dentistry in Pulaski, TN
• Providers in Pulaski, 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 Jul 17, 2007; 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.