Smyrna Modern Dentistry, PC

NPI #1669840211 in Smyrna, Tennessee

Provider Information

NPI Number: 1669840211
Entity Type: Organization
Organization Name: Smyrna Modern Dentistry, PC
Primary Specialty: Dentist
Enumeration Date: Sep 11, 2015
Last Updated: Sep 11, 2015

Practice Location

Address: 160 MOVIE ROW
City: Smyrna
State: Tennessee
ZIP Code: 37167
Phone: (615) 930-9606

Authorized Official

Name: DR. TANISHA A JACKSON, DDS
Title: OWNER
Phone: (615) 930-9606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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