Jackson Dental Alliance, Pllc

NPI #1396431060 in Mt Juliet, Tennessee

Provider Information

NPI Number
1396431060
Entity Type
Organization
Organization Name
Jackson Dental Alliance, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 14, 2023
Last Updated
Apr 14, 2023

Practice Location

Address
40 W CALDWELL ST STE 202
ZIP Code
37122-3179
Phone
(615) 758-7511

Authorized Official

Name
DR. RONALD COREY JACKSON, DDS
Title
PRESIDENT/CEO
Phone
(615) 406-6780

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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