Provider Demographics
NPI:1003179334
Name:VOLNER, JOSEPH ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ALLEN
Last Name:VOLNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 STAGE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2882
Mailing Address - Country:US
Mailing Address - Phone:901-388-0980
Mailing Address - Fax:
Practice Address - Street 1:6500 STAGE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2882
Practice Address - Country:US
Practice Address - Phone:901-388-0980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9510122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist