Organization
JESSE M. THOMAS, D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MARTIN THOMAS D.D.S. (PRESIDENT)
(731) 424-7690
Entity
Organization
Contact information
Practice address
681 SKYLINE DRIVE, JACKSON, TN 38301
(731) 424-7690
(731) 423-9167
Mailing address
681 SKYLINE DRIVE, JACKSON, TN 38301
(731) 424-7690
(731) 423-9167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS 1642
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
146
TN
Other
Enumeration date
09/15/2006
Last updated
09/11/2025
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