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Dr. Dolphus Carl Jackson, DDS,PC
Oral and Maxillofacial Surgery (Dentist) in Spring Hill, Tennessee
NPI 1467511642

Dolphus Carl Jackson is a Oral and Maxillofacial Surgery (Dentist) based in Spring Hill, TN and is specialized in Oral and Maxillofacial Surgery. Dolphus Carl Jackson practices in Spring Hill, TN and has the professional credentials of DDS,PC. The NPI Number for Dolphus Carl Jackson is 1467511642 and holds a License No. DS0000008035 (Tennessee).

The current practice location address for Dolphus Carl Jackson is 3098 Campbell Station Pkwy, Spring Hill, TN and can be reached out via phone at 615-302-8471 and via fax at 615-302-8081.

Location: 3098 Campbell Station Pkwy, Spring Hill, TN, 37174-6201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467511642
Provider Name
Dolphus Carl Jackson
Credential
DDS,PC
Provider Entity Type
Individual
Gender
Male
Address
3098 Campbell Station Pkwy, Spring Hill, TN, 37174-6201
Phone Number
615-302-8471
Fax Number
615-302-8081
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4105175 01 TN BCBS OF TENNESSEE
0015802 01 TN ASSURANT EMPLOYEE BNFTS
4105175 01 TN TENNCARE SELECT
281433 01 TN CIGNA DMO DENTAL PLAN
9176594 01 TN DORAL USA
3731118 05 TN
institution
Provider Business Practice Location Address Details
Address
3098 Campbell Station Pkwy
City
Spring Hill
State
Tennessee
Zip
37174-6270
Phone Number
615-302-8471
Fax Number
615-302-8081
person
Provider Business Mailing Address Details
Address
3098 Campbell Station Pkwy
City
Spring Hill
State
Tennessee
Zip
37174-6270
Phone Number
615-302-8471
Fax Number
615-302-8081
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS0000008035 (Tennessee)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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