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WEST TENNESSEE DENTISTRY PLLC NPI 1407343254


NPI Information

NPI: 1407343254
Provider Name: WEST TENNESSEE DENTISTRY PLLC

Doing Business As: DOVE FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1108 WHITEHALL ST
JACKSON, TN
ZIP 38301
Phone: (972) 869-3789
Get Directions

WEST TENNESSEE DENTISTRY PLLC is a general practice dentist in Jackson, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WEST TENNESSEE DENTISTRY PLLC NPI is 1407343254. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dove Family Dentistry.

The provider's business location address is:

1108 WHITEHALL ST
JACKSON, TN
ZIP 38301-730
Phone: (972) 869-3789

The provider's authorized official is Faith Gaskins .
The authorized official title is Director Of Credentialing and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 4/17/2018 and was last updated on 4/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7557TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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