Mt Juliet Modern Dentistry PC
NPI #1285371187 in Mount Juliet, Tennessee
Provider Information
- NPI Number
- 1285371187
- Entity Type
- Organization
- Organization Name
- Mt Juliet Modern Dentistry PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 13, 2022
- Last Updated
- May 25, 2022
Practice Location
- Address
- 600 S MOUNT JULIET RD STE 3
- City
- Mount Juliet
- State
- Tennessee
- ZIP Code
- 37122-6497
- Phone
- (615) 716-1653
Authorized Official
- Name
- JENNIFER JUDGE, DMD
- Title
- OWNER
- Phone
- (615) 716-1653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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