R. Corey Jackson Dds, LLC

NPI #1043306467 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1043306467
Entity Type: Organization
Organization Name: R. Corey Jackson Dds, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2365 N MOUNT JULIET RD
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-3038
Phone: (615) 754-5840

Authorized Official

Name: DR. RONALD COREY JACKSON, D.D.S.
Title: MANAGING MEMBER
Phone: (615) 754-5840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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