Jackson Family Dental,PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8135 Issued in TN

Legal business name

JACKSON FAMILY DENTAL,PLLC

Practice address

607 W Due West Ave
Suit 110
Madison, TN 37115-4431

Phone

(615) 868-2476

Fax

(615) 868-2477

NPI assigned

Dec 5, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Meade Jackson, DDS

Title

Owner

Phone

(615) 868-2476

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1821429531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE",
            "address_2": "SUIT 110",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154431",
            "telephone_number": "615-868-2476",
            "fax_number": "615-868-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE",
            "address_2": "SUIT 110",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154431",
            "telephone_number": "615-868-2476",
            "fax_number": "615-868-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FAMILY DENTAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MEADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-868-2476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity EMS LLC
• Thalia Elizabeth Irwin, M.S CCC-SLP
• Madeline Rose Iverson
• J Michael Law DDS PC
• Lauren Jackel
• Elbert E Jackson, DDS
• Kate Sorel Jackson
• Meade Columbia Jackson, DDS
• Carrie Leigh Jamieson
• Jennifer Elizabeth Jaris-Weaver, APN, FNP-BC

• General Practice Dentistry in Madison, TN
• Providers in Madison, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.