| Jefferson Dental | |
|
1205 George Ave Jefferson City TN 37760-2759 | |
| (865) 475-8988 | |
| (865) 475-1103 |
| Full Name | Jefferson Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1205 George Ave, Jefferson City, Tennessee |
| Authorized Official Name and Position | Donna B Fairbanks (OFFICE MANAGER) |
| Authorized Official Contact | 8654758988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Dental 1205 George Ave Jefferson City TN 37760-2759 Ph: (865) 475-8988 | Jefferson Dental 1205 George Ave Jefferson City TN 37760-2759 Ph: (865) 475-8988 |
| NPI Number | 1083975221 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083975221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS0000003187 (Tennessee) | Primary |
Reagan Gentle Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 George Ave, Jefferson City, TN 37760 Phone: 865-475-8988 | |
Blair E. Cohen Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-7901 | |
Blair E. Cohen, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 W Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-7901 | |
Steven J Monroe Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 W Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-7901 Fax: 865-475-8133 |