Healthcare Provider Details

I. General information

NPI: 1225956394
Provider Name (Legal Business Name): LUKE JARNAGIN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 TUSCULUM BLVD
GREENEVILLE TN
37745-4023
US

IV. Provider business mailing address

1015 TUSCULUM BLVD
GREENEVILLE TN
37745-4023
US

V. Phone/Fax

Practice location:
  • Phone: 423-638-6341
  • Fax:
Mailing address:
  • Phone: 423-638-6341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13213
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: