Individual
DR. THOMAS SPENCER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1507 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5131
(865) 984-3211
Mailing address
1507 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5131
(865) 984-3211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10903
TN
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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