Organization
ORTHODONTIC SPECIALTY GROUP P.A.
Active
Organization
ORTHODONTIC SPECIALTY GROUP P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RAY HIGHT JR. DDS, MS (OWNER ORTHODONTIST)
(731) 427-1696
Entity
Organization
Contact information
Practice address
101 MAX LANE DR, JACKSON, TN 38305-5206
(731) 427-1696
Mailing address
101 MAX LANE DR, JACKSON, TN 38305-5206
(731) 427-1696
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS3336
TN
Other
Enumeration date
09/06/2005
Last updated
05/10/2018
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