NOTHSIDE DENTAL CENTER PA NPI 1700851979

NPI Information

NOTHSIDE DENTAL CENTER, PA 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. NOTHSIDE DENTAL CENTER, PA NPI is 1700851979. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3067 N HIGHLAND AVE
JACKSON, TN
ZIP 38305-411
Phone: (731) 668-7916
Fax: (731) 668-9544

The provider's authorized official is Frank H Hampson .
The authorized official title is Secretary/treasurer and has the following contact phone number (731) 668-7916.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 6/26/2008.

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:

Other Identifiers

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