Provider Demographics
NPI:1629220686
Name:ORR, GARRETT F (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:F
Last Name:ORR
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 1:1741 BYPASS RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2338
Mailing Address - Country:US
Mailing Address - Phone:931-967-4143
Mailing Address - Fax:931-967-8435
Practice Address - Street 1:1741 BYPASS RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2338
Practice Address - Country:US
Practice Address - Phone:931-967-4143
Practice Address - Fax:931-967-8435
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000008866122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist