JEFFERSON DENTAL NPI 1083975221

NPI Information

  • NPI: 1083975221
  • Provider Name: JEFFERSON DENTAL
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1205 GEORGE AVE
    JEFFERSON CITY, TN
    ZIP 37760
  • Phone: (865) 475-8988

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NPI Details

JEFFERSON DENTAL is a dental clinic center in Jefferson City, TN. JEFFERSON DENTAL NPI is 1083975221. The provider is registered as an organization entity type.

The provider's business location address is:

1205 GEORGE AVE
JEFFERSON CITY, TN
ZIP 37760-759
Phone: (865) 475-8988
Fax: (865) 475-1103

The provider's authorized official is Donna B Fairbanks .
The authorized official title is Office Manager and has the following contact phone number (865) 475-8988.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 6/5/2012.

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
1261QD0000XClinic/CenterDentalDS0000003187TENNESSEEYes

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: 11/21/2025

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