Individual
JACOB MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 S HARTMANN DR, LEBANON, TN 37087-4779
(615) 453-9937
Mailing address
335 S HARTMANN DR, LEBANON, TN 37087-4779
(615) 453-9937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13198
TN
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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