Most Relevant Information
Provider Data
| NPI Number: | 1003474909 |
| Provider Name: | JAMIE TROTT |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 11036 |
Most Important Dates
| Enumeration Date: | 06/05/2019 |
| Last Updated: | 06/05/2019 |
Provider Practice Location
609 PAUL HUFF PKWY NW
CLEVELAND
TN
373122970
Practice Location Phone/Fax
| Phone: | 4236654100 |
| Fax: |
Provider Mailing Location
609 PAUL HUFF PKWY NW
CLEVELAND
TN
373122970
Provider Mailing Phone/Fax
| Phone: | 4236654100 |
| Fax: |