OrganizationActive
Mt. Juliet Dental Group, PC
NPI 1720537491 · Dentist · Mt. Juliet, TN
Mt. Juliet Dental Group, PC is a Dentist organization in Mt. Juliet, TN (NPI 1720537491).
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
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4155 N Mt Juliet Rd
Mt. Juliet, TN 37122
Phone: (615) 241-8023
Fax: (615) 922-3768
Street-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
Frequently asked questions
- What is Mt. Juliet Dental Group, PC's NPI number?
- Mt. Juliet Dental Group, PC's National Provider Identifier (NPI) is 1720537491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt. Juliet Dental Group, PC?
- Mt. Juliet Dental Group, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mt. Juliet Dental Group, PC located?
- Mt. Juliet Dental Group, PC's practice location on file with NPPES is 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122.
- What is Mt. Juliet Dental Group, PC's phone number?
- The practice phone number listed in the NPPES registry for Mt. Juliet Dental Group, PC is (615) 241-8023.
- Who is the authorized official for Mt. Juliet Dental Group, PC?
- The authorized official listed on Mt. Juliet Dental Group, PC's NPPES record is Tanisha Jackson, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt. Juliet Dental Group, PC's NPI active?
- Yes — Mt. Juliet Dental Group, PC's NPI (1720537491) is active in the NPPES registry as of the last update on 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.