DENTAL PRACTICE GROUP OF TENNESSEE (JACKSON FAMILY DENTAL CARE) - NPI NUMBER 1013265586

Summary

Provider Name: DENTAL PRACTICE GROUP OF TENNESSEE (JACKSON FAMILY DENTAL CARE)

NPI Number: 1013265586

NPI Type: Organization

Clasification: Durable Medical Equipment & Medical Supplies (332BC3200X)

Specialization: Customized Equipment

Address:
78 LYNOAK CV
JACKSON, TN
ZIP 38305

Phone Number: (731) 668-2795



Detailed Information

DENTAL PRACTICE GROUP OF TENNESSEE is a customized equipment durable medical equipment & medical supplies in Jackson, TN. The assigned NPI number for this provider is 1013265586 and is registered as an organization entity type.
The provider Is Doing Business As Jackson Family Dental Care.

The provider's business address is:

78 LYNOAK CV
JACKSON, TN
ZIP 38305-800
Phone: (731) 668-2795
Fax: (731) 668-1012

The provider's authorized official is Todd Christie .
The authorized official title is Ceo and has the following contact phone number (321) 800-3771.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 8/16/2012.

Map - Location of Practice




This page was last updated on: 4/19/2015

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