Organization · Type 2 NPI
Jefferson Dental
Dental Clinic/Center · Jefferson City, TN
NPI number
1083975221
Active
Practice location
1205 George Ave
Jefferson City, TN 37760-2759
Fax (865) 475-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DS0000003187 (TN) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Jefferson City
About NPI 1083975221
Jefferson Dental's National Provider Identifier is 1083975221, issued on Jun 5, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jefferson City, TN. The record was last updated on Jun 5, 2012.