Jolly, Tesa Harris
Jolly, Tesa Harris is an sole proprietor health care provider with primary practice located at 217 W Jefferson St Suite 1, Pulaski TN 38478-2835. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jolly, Tesa Harris can be contacted via phone (931) 363-1564.Contact Information
Primary practice address
217 W Jefferson St Suite 1
Pulaski TN 38478-2835
Phone: (931) 363-1564
Fax: (931) 363-1559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8941 | Tennessee |
Profile Details
| NPI number | 1891930293 |
|---|---|
| LBN Legal business name | Jolly, Tesa Harris |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2008 |
| Last updated | Mar 14th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891930293 | NPPES |
| Tennessee | MEDICAID | 1513043 |
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