Provider Demographics
NPI:1275917148
Name:TRAMMELL, FLOYD GOZA JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:GOZA
Last Name:TRAMMELL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHIP
Other - Middle Name:
Other - Last Name:TRAMMELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:53 SOUTHWIND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3963
Mailing Address - Country:US
Mailing Address - Phone:731-402-0369
Mailing Address - Fax:
Practice Address - Street 1:190 MURRAY GUARD DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3609
Practice Address - Country:US
Practice Address - Phone:731-668-8922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN94521223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics