Jefferson Dental
NPI #1083975221 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1083975221
- Entity Type
- Organization
- Organization Name
- Jefferson Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 1205 GEORGE AVE
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2759
- Phone
- (865) 475-8988
Authorized Official
- Name
- MRS. DONNA B FAIRBANKS
- Title
- OFFICE MANAGER
- Phone
- (865) 475-8988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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