Organization
JACOBS ENTREPRENEURIAL GROUP
Active
Other names
Hixson Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCI RAINES (PRACTICE MANAGER)
(423) 877-7886
Entity
Organization
Contact information
Practice address
1005 EXECUTIVE DR, SUITE 105, HIXSON, TN 37343-7903
(423) 877-7886
(423) 877-1290
Mailing address
1005 EXECUTIVE DR, SUITE 105, HIXSON, TN 37343-7903
(423) 877-7886
(423) 877-1290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS8742
TN
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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