OrganizationActive
Mt. Juliet Dental Group, PC
NPI 1720537491 · Dentist · Mt. Juliet, TN
Provider details
- NPI number
- 1720537491
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Tanisha Jackson, Owner Dentist(615) 241-8023
Specialties & taxonomies
Dental Providers
Practice location
4155 N Mt Juliet Rd
Mt. Juliet, TN 37122
Phone: (615) 241-8023
Fax: (615) 922-3768
Approximate (ZIP-level) locationGet directions
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Other names (DBA / former)
- Doing business as
- Mt. Juliet Dental Group
Registry dates
- Enumerated
- 2016-09-23
- Last updated
- 2016-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.