DENTAL PRACTICE GROUP OF TENNESSEE (NPI# 1013265586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013265586 |
| Entity Type | Organization |
| Organization Name | DENTAL PRACTICE GROUP OF TENNESSEE |
| Other Organization Name | JACKSON FAMILY DENTAL CARE |
| Practice Address |
78 Lynoak Cv Jackson TN 38305-2800 |
| Mailing Address |
8195 N Wickham Rd Suite 210 Melbourne FL 32940-8285 |
| Practice Telephone | 7316682795 |
| Practice Fax Number | 7316681012 |
| Mailing Telephone | 3218003771 |
| Mailing Fax Number | 3212546800 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | DR. TODD CHRISTIE (CEO) |
| Authorized Official Telephone | 3218003771 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PRACTICE GROUP OF TENNESSEE |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
3105 | TN | Suppliers |
| Other Name | Type Code |
|---|---|
| Jackson Family Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891043204 | Dental Practice Group of Tennessee | Durable Medical Equipment & Medical Supplies | 775 E Brookhaven Cir, Memphis, TN 38117-4501 | 2012-08-16 |
| Street Address |
78 LYNOAK CV |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477541704 | Edward Vaughan | Dentist | 78 Lynoak Cv, Jackson, TN 38305-2800 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780187294 | Mybethony Enterprises | Durable Medical Equipment & Medical Supplies | 3027 Autumn Pl S Apt A, Jackson, MS 39212-2419 | 2018-03-10 |
| 1730523259 | Adams Prosthetics & Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 5935 Highway 18 W Ste A, Jackson, MS 39209-9626 | 2013-04-26 |
| 1841442670 | In Home Lymphatic Care | Durable Medical Equipment & Medical Supplies | 17 Highland Dr, Jackson, NJ 08527-1235 | 2008-10-10 |
| 1457522260 | Jimmie C Robinson | Durable Medical Equipment & Medical Supplies | 605 W Fortification St, Jackson, MS 39203-1706 | 2008-03-19 |
| 1528193695 | Carelinc Medical Equipment & Supply Co LLC | Durable Medical Equipment & Medical Supplies | 606 E Michigan Ave, Jackson, MI 49201-1624 | 2007-02-22 |
| 1982629796 | First Choice Orthotics & Prosthetics Inc. | Durable Medical Equipment & Medical Supplies | 1717 Raymond Rd, Jackson, MS 39204-4125 | 2006-07-13 |
| 1992136923 | Jackson Dental | Durable Medical Equipment & Medical Supplies | 3100 E Jackson Blvd, Jackson, MO 63755-2957 | 2013-12-02 |
| 1215953484 | Jalopy Shoppe, Inc. | Durable Medical Equipment & Medical Supplies | 811 Foley St, Suite H, Jackson, MS 39202-3433 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074593 | Linx Solutions LLC | Durable Medical Equipment & Medical Supplies | 3606 W Andrew Johnson Hwy Ste 21, Morristown, TN 37814-3607 | 2020-02-05 |
| 1427693159 | Dennis R Gardner | Durable Medical Equipment & Medical Supplies | 5311 Main St Ste H, Spring Hill, TN 37174-3155 | 2019-11-18 |
| 1316589096 | Alcia Chapman | Durable Medical Equipment & Medical Supplies | 1203 Cordova Club Dr, Cordova, TN 38018-2874 | 2019-10-14 |
| 1255895561 | Chattanooga Sleep & Tmj Associates At Lunn Dentistry Pllc | Durable Medical Equipment & Medical Supplies | 5323 Brainerd Rd Ste 106, Chattanooga, TN 37411-5305 | 2019-01-31 |
| 1124516471 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 3708 E Stone Dr, Kingsport, TN 37660-7112 | 2018-04-23 |
| 1952899205 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 115 Hayfield Rd Ste A, Knoxville, TN 37922-2361 | 2018-04-23 |
| 1639686199 | Sleep Relief Solutions LLC | Durable Medical Equipment & Medical Supplies | 1423 Mcarthur St, Manchester, TN 37355-2517 | 2018-01-05 |
| 1407360274 | Chg Solutions LLC | Durable Medical Equipment & Medical Supplies | 6138 Preservation Dr Ste 400, Chattanooga, TN 37416-3640 | 2017-11-30 |
| 1336653443 | Mink Beauty, Inc | Durable Medical Equipment & Medical Supplies | 4466 Elvis Presley Blvd Ste 169, Memphis, TN 38116-7135 | 2017-11-28 |
| 1316475114 | Weatherly Mobility Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 3840 Viscount Ave Ste 14, Memphis, TN 38118-6023 | 2017-05-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.