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Contact Information

JIM G BADDOUR III, DDS
426 HWY 51 SOUTH
COVINGTON, TN38019
 Phone: 901-476-3626
 Fax: 901-476-3629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JIM G BADDOUR III · (Male)

NPI Number 1326142852
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # DS3557
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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