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Individual

DR. SAMUEL S JACKSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
296 WHITE BRIDGE PIKE, NASHVILLE, TN 37209-3226
(615) 352-9595
(615) 383-4873
Mailing address
296-WHITEBRIDGE RD, NASHVILLE, TN 37209
(615) 352-9595
(615) 383-4873

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS7419
TN

Other

Enumeration date
07/25/2008
Last updated
07/25/2008
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