Organization
FCD OF JACKSON, PLLC
Active
Other names
Minesh Y. Patel, DDS dba Family &Cosmetic Dentistry of Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MINISH Y. PATEL DR. (DOCTOR/OWNER)
(731) 424-6452
Entity
Organization
Contact information
Practice address
1523 S. HIGHLAND AVENUE, JACKSON, TN 38301-7520
(731) 424-6452
(731) 424-9719
Mailing address
1523 S. HIGHLAND AVENUE, JACKSON, TN 38301-7520
(731) 424-6452
(731) 424-9719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526237
—
TN
Enumeration date
11/28/2006
Last updated
01/10/2025
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