Elbert E Jackson, Dds, Pc | |
200 Gleaves St Suite C Madison TN 37115-2154 | |
(615) 859-1881 | |
(615) 865-7723 |
Full Name | Elbert E Jackson, Dds, Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 200 Gleaves St, Madison, Tennessee |
Authorized Official Name and Position | Elbert E Jackson (OWNER) |
Authorized Official Contact | 6158591881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elbert E Jackson, Dds, Pc 200 Gleaves St Suite C Madison TN 37115-2154 Ph: (615) 859-1881 | Elbert E Jackson, Dds, Pc 200 Gleaves St Suite C Madison TN 37115-2154 Ph: (615) 859-1881 |
NPI Number | 1871652172 |
---|---|
Provider Enumeration Date | 12/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871652172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS2474 (Tennessee) | Primary |
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