West Tennessee Dentistry Pllc

NPI #1407343254 in Jackson, Tennessee

Provider Information

NPI Number
1407343254
Entity Type
Organization
Organization Name
West Tennessee Dentistry Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 17, 2018
Last Updated
Apr 17, 2018

Practice Location

Address
1108 WHITEHALL ST
ZIP Code
38301-3730
Phone
(972) 869-3789

Authorized Official

Name
FAITH GASKINS
Title
DIRECTOR OF CREDENTIALING
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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