Individual
MACEY ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1045 MULLINS STATION RD, MEMPHIS, TN 38134-7723
(901) 222-8500
Mailing address
7647 TRAILSIDE CIR APT 204, CORDOVA, TN 38018-1092
(901) 258-1054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12549
TN
Other
Enumeration date
03/29/2024
Last updated
11/17/2025
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