West Tennessee Pediatric Dental Group Inc in Jackson - Pediatric Dentistry
West Tennessee Pediatric Dental Group Inc - NPI 1528152394
West Tennessee Pediatric Dental Group Inc is a Pediatric Dentistry in Jackson, Tennessee. West Tennessee Pediatric Dental Group Inc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for West Tennessee Pediatric Dental Group Inc is 1528152394. The last update date is 2008-06-06.
West Tennessee Pediatric Dental Group Inc's current location address is 206 Murray Guard Drive, Jackson, Tennessee. You can contact this provider via phone number 7316640080 and fax number 7346643259. The mailing address for West Tennessee Pediatric Dental Group Inc is 206 Murray Guard Drive, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Tennessee Pediatric Dental Group Inc |
|---|---|
| Address | 206 Murray Guard Drive, Jackson, Tennessee |
| Phone Number | 7316640080 |
| Fax Number | 7346643259 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Williams C John |
| Credentials | DDS |
| Telephone Number | 7316640080 |
NPI Number Detail
| NPI Number | 1528152394 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 206 Murray Guard Drive |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 38305 |
| Phone Number | 7316640080 |
| Fax Number | 7346643259 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to West Tennessee Pediatric Dental Group Inc by the Centers for Medicare & Medicaid Services (CMS)?
The West Tennessee Pediatric Dental Group Inc has been assigned the NPI (National Provider Identifier) 1528152394. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where West Tennessee Pediatric Dental Group Inc's facilities are geographically located?
The facilities of West Tennessee Pediatric Dental Group Inc are physically situated at the following location: 206 Murray Guard Drive, Jackson, TN, 38305.
What is West Tennessee Pediatric Dental Group Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for West Tennessee Pediatric Dental Group Inc is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528152394 to West Tennessee Pediatric Dental Group Inc?
The West Tennessee Pediatric Dental Group Inc received its 1528152394 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding West Tennessee Pediatric Dental Group Inc most recently updated?
The details pertaining to the West Tennessee Pediatric Dental Group Inc, including its address, specialty, and other relevant information, were last refreshed on 2008-06-06.