Charlie Dallas Manning IV D.D.S.

NPI 1821438367 - Dentist - 122300000X

NPI Details
NPI 1821438367
Gender Male
Enumeration Date 06/28/2013
Last Updated 06/28/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1056 MCARTHUR ST
MANCHESTER TN, 37355-2454, US
Phone (931) 728-4143
Fax (931) 728-8209
Business Location
1056 MCARTHUR ST
MANCHESTER TN, 37355-2454, US
Phone (931) 728-4143
Fax (931) 728-8209
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number 9694
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According to our database, Dr. Charlie Dallas Manning IV D.D.S. NPI is 1821438367, taxonomy code is 122300000X and license number is 9694, license state is located at Tennessee. Charlie Dallas Manning IV D.D.S. physically located at 1056 Mcarthur St, Manchester TN, 37355-2454. NPI Number Charlie Dallas Manning IV D.D.S. has the Individual type.

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1821438367 NPI number is provided on an as is basis without warranty of any kind. 1821438367 is maintained by the National Plan & Provider Enumeration System. The contents of Charlie Dallas Manning IV D.D.S. are for informational purposes only.