WEST TENNESSEE PEDIATRIC DENTAL GROUP INC NPI 1528152394

NPI Information

WEST TENNESSEE PEDIATRIC DENTAL GROUP INC is a pediatric dentistry dentist in Jackson, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WEST TENNESSEE PEDIATRIC DENTAL GROUP INC NPI is 1528152394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

206 MURRAY GUARD DRIVE
JACKSON, TN
ZIP 38305
Phone: (731) 664-0080
Fax: (734) 664-3259

The provider's authorized official is John C Williams .
The authorized official title is President Pediatric Dentist and has the following contact phone number (731) 664-0080.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/6/2008.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.