| G. Robert Hopper, D.d.s., P.c. | |
|
468 N Parkway Jackson TN 38305-2857 | |
| (731) 664-5615 | |
| (731) 661-9805 |
| Full Name | G. Robert Hopper, D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 468 N Parkway, Jackson, Tennessee |
| Authorized Official Name and Position | G. Robert Hopper (OWNER) |
| Authorized Official Contact | 7316645615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Robert Hopper, D.d.s., P.c. 468 N Parkway Jackson TN 38305-2857 Ph: (731) 664-5615 | G. Robert Hopper, D.d.s., P.c. 468 N Parkway Jackson TN 38305-2857 Ph: (731) 664-5615 |
| NPI Number | 1982787073 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982787073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2894 (Tennessee) | Primary |
Ralph M. Nixon Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Stonebridge Blvd, Jackson, TN 38305 Phone: 731-668-0630 | |
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