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Scott Christian Jackson
General Practice Dentistry in Memphis, Tennessee
NPI 1669115770

Scott Christian Jackson is a General Practice Dentistry based in Eureka, TN and is specialized in General Practice. Scott Christian Jackson practices in Memphis, TN. The NPI Number for Scott Christian Jackson is 1669115770 and holds a License No. (Tennessee).

The current practice location address for Scott Christian Jackson is 5180 Park Ave Ste 210, Memphis, TN and can be reached out via phone at 901-763-0850.

Location: 5180 Park Ave Ste 210, Memphis, TN, 63025-4035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669115770
Provider Name
Scott Christian Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5180 Park Ave Ste 210, Memphis, TN, 63025-4035
Phone Number
901-763-0850
Fax Number
Provider Enumeration Date
04/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5180 Park Ave Ste 210
City
Memphis
State
Tennessee
Zip
38119-3530
Phone Number
901-763-0850
Fax Number
person
Provider Business Mailing Address Details
Address
5180 Park Ave Ste 210
City
Memphis
State
Tennessee
Zip
38119-3530
Phone Number
901-763-0850
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12245 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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