Organization · Type 2 NPI

Jackson Dental Alliance, PLLC

Dental Clinic/Center · Mount Juliet, TN

NPI number 1396431060 Active

Practice location

40 W Caldwell St Ste 202
Mount Juliet, TN 37122-3179

Mailing address

2740 S Mount Juliet Rd
Mount Juliet, TN 37122-6202

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1396431060

Jackson Dental Alliance, PLLC's National Provider Identifier is 1396431060, issued on Apr 14, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mount Juliet, TN. The record was last updated on Apr 14, 2023.