Mr Terry L Jackson, DDS is a
Dentist based in Watertown, Tennessee. Mr Terry L Jackson is licensed to practice in Tennessee (license number 4316) and his current practice location is
121 West Main Street, Watertown, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(615) 237-3631.
NPI number for Mr Terry L Jackson is 1588736771 and his current mailing address is 121 West Main Street, Watertown, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588736771.
Healthcare Provider's Profile
| Full Name | Mr Terry L Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 121 West Main Street, Watertown, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588736771
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Terry L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588736771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 4316 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Terry L Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Terry L Jackson, DDS
121 West Main Street,
Watertown, TN 37184
Ph: (615) 237-3631 | Mr Terry L Jackson, DDS
121 West Main Street,
Watertown, TN 37184
Ph: (615) 237-3631 |
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