Provider Demographics
NPI:1477575538
Name:NORFLEET, LINNEUS PAUL III (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINNEUS
Middle Name:PAUL
Last Name:NORFLEET
Suffix:III
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 1:2820 SCENIC DR.
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5312
Mailing Address - Country:US
Mailing Address - Phone:931-645-2469
Mailing Address - Fax:931-551-9954
Practice Address - Street 1:357 DOVER RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-4144
Practice Address - Country:US
Practice Address - Phone:931-645-2469
Practice Address - Fax:931-551-9954
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS33551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN42242OtherBC/BS PROVIDER NUMBER