| Dove Family Dentistry | |
|
1108 Whitehall St Jackson TN 38301-3730 | |
| (972) 869-3789 | |
| Not Available |
| Full Name | Dove Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1108 Whitehall St, Jackson, Tennessee |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Family Dentistry 2403 Lacy Ln Carrollton TX 75006-6514 Ph: (972) 869-3789 | Dove Family Dentistry 1108 Whitehall St Jackson TN 38301-3730 Ph: (972) 869-3789 |
| NPI Number | 1407343254 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407343254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7557 (Tennessee) | Primary |
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