DR. JACK DANIEL MALLETTE DDS NPI 1932328317

NPI Information

NPI: 1932328317
Provider Name: DR. JACK DANIEL MALLETTE, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
538 BRANDIES CIRCLE
SUITE 102
MURFREESBORO, TN
ZIP 37128
Phone: (615) 494-5487
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DR. Jack Daniel Mallette, DDS is a pediatric dentistry dentist in Murfreesboro, 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. DR. Jack Daniel Mallette, DDS NPI is 1932328317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

538 BRANDIES CIRCLE
SUITE 102
MURFREESBORO, TN
ZIP 37128
Phone: (615) 494-5487
Fax: (615) 494-4649

The enumeration date for this NPI number is 4/24/2007 and was last updated on 9/16/2011.

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	1223P0221X	Dentist	Pediatric Dentistry	DS0000008406	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: 4/28/2024

NPI Synchronization or Removal

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