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DENTAL PRACTICE GROUP OF TENNESSEE NPI 1013265586

NPI Profile

NPI: 1013265586

Provider Name: DENTAL PRACTICE GROUP OF TENNESSEE

Doing Business As: JACKSON FAMILY DENTAL CARE

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

Entity Type: Organization

Specialization: Customized Equipment

Address:
78 LYNOAK CV
JACKSON, TN
ZIP 38305

Phone: (731) 668-2795

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

The provider's business location 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

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment 3105 TENNESSEE Yes

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: 5/13/2015