Provider Demographics
NPI:1033211172
Name:SEXTON, GREGORY S (DDS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:S
Last Name:SEXTON
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 1:2729 W ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3215
Mailing Address - Country:US
Mailing Address - Phone:423-586-3611
Mailing Address - Fax:423-586-7454
Practice Address - Street 1:2729 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3215
Practice Address - Country:US
Practice Address - Phone:423-586-3611
Practice Address - Fax:423-586-7454
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN047731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice