Individual
JACKSON KEMP FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(865) 603-6444
Mailing address
2027 HIGBEE AVE, MEMPHIS, TN 38104-5334
(865) 603-6444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
TN
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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