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Jordan Booth, DDS
Student in an Organized Health Care Education/Training Program in Spring Hill, Tennessee
NPI 1619531134

Jordan Booth is a Student in an Organized Health Care Education/Training Program based in Indianapolis, TN. Jordan Booth practices in Spring Hill, TN and has the professional credentials of DDS. The NPI Number for Jordan Booth is 1619531134 and holds a License No. (Tennessee).

The current practice location address for Jordan Booth is 4873 Port Royal Rd, Spring Hill, TN and can be reached out via phone at 931-486-3232.

Location: 4873 Port Royal Rd, Spring Hill, TN, 46224-3246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619531134
Provider Name
Jordan Booth
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4873 Port Royal Rd, Spring Hill, TN, 46224-3246
Phone Number
931-486-3232
Fax Number
Provider Enumeration Date
04/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4873 Port Royal Rd
City
Spring Hill
State
Tennessee
Zip
37174-2799
Phone Number
931-486-3232
Fax Number
person
Provider Business Mailing Address Details
Address
4873 Port Royal Rd
City
Spring Hill
State
Tennessee
Zip
37174-2799
Phone Number
931-486-3232
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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