| Mt. Juliet Dental Group | |
|
4155 N Mt Juliet Rd Mt. Juliet TN 37122 | |
| (615) 241-8023 | |
| (615) 922-3768 |
| Full Name | Mt. Juliet Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 4155 N Mt Juliet Rd, Mt. Juliet, Tennessee |
| Authorized Official Name and Position | Tanisha A Jackson (OWNER DENTIST) |
| Authorized Official Contact | 6152418023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Juliet Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Mt. Juliet Dental Group 4155 N Mt Juliet Rd Mt. Juliet TN 37122 Ph: (615) 241-8023 |
| NPI Number | 1720537491 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720537491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Pearl Pediatric Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 North Mt. Juliet Road Suite100, Mt. Juliet, TN 37122 Phone: 615-667-9232 |