Provider Demographics
NPI:1225101736
Name:ZIMMERMAN, JAMES TERRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TERRENCE
Last Name:ZIMMERMAN
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 1:6 CADILLAC DR STE 130
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5069
Mailing Address - Country:US
Mailing Address - Phone:615-373-5914
Mailing Address - Fax:615-373-8273
Practice Address - Street 1:6 CADILLAC DR STE 130
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5069
Practice Address - Country:US
Practice Address - Phone:615-373-5914
Practice Address - Fax:615-373-8273
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS31191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice