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Organization
CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC
Active
Organization
CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC
Active
Other names
Children's Dental Surgery of Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON EDMONDSON (DIRECTOR)
(629) 666-8612
Entity
Organization
Contact information
Practice address
27 S COOKS BRIDGE RD STE 2-3, JACKSON, NJ 08527-2462
(732) 928-1099
(732) 833-1690
Mailing address
1801 W END AVE STE 530, NASHVILLE, TN 37203-2515
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/26/2021
Last updated
10/12/2026
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