Organization
MT JULIET MODERN DENTISTRY PC
Active
Other names
Mt Juliet Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JUDGE DMD (OWNER)
(615) 716-1653
Entity
Organization
Contact information
Practice address
600 S MOUNT JULIET RD STE 3, MOUNT JULIET, TN 37122-6497
(615) 716-1653
(615) 866-0615
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/25/2022
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