R. Corey Jackson Dds, Llc | |
2365 N Mount Juliet Rd Mt Juliet TN 37122-3038 | |
(615) 754-5840 | |
Not Available |
Full Name | R. Corey Jackson Dds, Llc |
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Speciality | Dentist - General Practice |
Location | 2365 N Mount Juliet Rd, Mt Juliet, Tennessee |
Authorized Official Name and Position | Ronald Corey Jackson (MANAGING MEMBER) |
Authorized Official Contact | 6157545840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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R. Corey Jackson Dds, Llc 308 Grandview Dr Old Hickory TN 37138-1645 Ph: (615) 758-9670 | R. Corey Jackson Dds, Llc 2365 N Mount Juliet Rd Mt Juliet TN 37122-3038 Ph: (615) 754-5840 |
NPI Number | 1043306467 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1043306467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8279 (Tennessee) | Primary |
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