Organization
PREMIER DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M. LEONARD (DDS)
(731) 300-3000
Entity
Organization
Contact information
Practice address
2574 CHRISTMASVILLE CV, SUITE G, JACKSON, TN 38305-7011
(731) 300-3000
(731) 300-3031
Mailing address
2574 CHRISTMASVILLE CV, SUITE G, JACKSON, TN 38305-7011
(731) 300-3000
(731) 300-3031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS3413
TN
1223G0001X
General Practice Dentistry
DS3682
TN
1223G0001X
General Practice Dentistry
Primary
DS7790
TN
1223G0001X
General Practice Dentistry
DS8401
TN
Other
Enumeration date
06/29/2012
Last updated
08/07/2018
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