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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