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Dr. Jackie Doyle Drake JR., DDS
General Practice Dentistry in Memphis, Tennessee
NPI 1508026840

Jackie Doyle Drake JR. is a General Practice Dentistry based in Memphis, TN and is specialized in General Practice. Jackie Doyle Drake JR. practices in Memphis, TN and has the professional credentials of DDS. The NPI Number for Jackie Doyle Drake JR. is 1508026840 and holds a License No. DS0000008680 (Tennessee).

The current practice location address for Jackie Doyle Drake JR. is 1030 Jefferson Ave, Memphis, TN and can be reached out via phone at 901-523-8990.

Location: 1030 Jefferson Ave, Memphis, TN, 38104-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508026840
Provider Name
Jackie Doyle Drake JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1030 Jefferson Ave, Memphis, TN, 38104-2127
Phone Number
901-523-8990
Fax Number
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1030 Jefferson Ave
City
Memphis
State
Tennessee
Zip
38104-2127
Phone Number
901-523-8990
Fax Number
person
Provider Business Mailing Address Details
Address
1030 Jefferson Ave
City
Memphis
State
Tennessee
Zip
38104-2127
Phone Number
901-523-8990
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS0000008680 (Tennessee)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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