Organization
DONELSON SMILES DENTISTRY, PC
Active
Other names
Donelson Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANISHA A JACKSON DDS (OWNER DOCTOR)
(615) 830-5008
Entity
Organization
Contact information
Practice address
2340 LEBANON PIKE, NASHVILLE, TN 37214
(615) 830-5008
(615) 830-5383
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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