| Jackson Family Dental,pllc | |
|
607 W Due West Ave Suit 110 Madison TN 37115-4431 | |
| (615) 868-2476 | |
| (615) 868-2477 |
| Full Name | Jackson Family Dental,pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 607 W Due West Ave, Madison, Tennessee |
| Authorized Official Name and Position | Meade Jackson (OWNER) |
| Authorized Official Contact | 6158682476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Dental,pllc 607 W Due West Ave Suit 110 Madison TN 37115-4431 Ph: (615) 868-2476 | Jackson Family Dental,pllc 607 W Due West Ave Suit 110 Madison TN 37115-4431 Ph: (615) 868-2476 |
| NPI Number | 1821429531 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 12/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821429531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8135 (Tennessee) | Primary |
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