|
| |
|
600 S Mount Juliet Rd Ste 3 Mount Juliet TN 37122-6497 | |
| (615) 716-1653 | |
| (615) 866-0615 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 S Mount Juliet Rd Ste 3, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Jennifer Judge (OWNER) |
| Authorized Official Contact | 6157161653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | 600 S Mount Juliet Rd Ste 3 Mount Juliet TN 37122-6497 Ph: (615) 716-1653 |
| NPI Number | 1285371187 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285371187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Zac Berry Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 E. Hill St., Mount Juliet, TN 37122 Phone: 615-758-2085 | |
West Wilson Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 E Hill Dr, Suite B, Mount Juliet, TN 37122 Phone: 615-773-1150 Fax: 615-773-1110 | |
Simply Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2788 N. Mt. Juliet, Mount Juliet, TN 37122 Phone: 615-758-4746 | |