| Jesse M. Thomas, D.d.s., Pa | |
|
681 Skyline Drive Jackson TN 38301 | |
| (731) 424-7690 | |
| (731) 423-9167 |
| Full Name | Jesse M. Thomas, D.d.s., Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 681 Skyline Drive, Jackson, Tennessee |
| Authorized Official Name and Position | Jesse Martin Thomas (PRESIDENT) |
| Authorized Official Contact | 7314247690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse M. Thomas, D.d.s., Pa 681 Skyline Drive Jackson TN 38301 Ph: (731) 424-7690 | Jesse M. Thomas, D.d.s., Pa 681 Skyline Drive Jackson TN 38301 Ph: (731) 424-7690 |
| NPI Number | 1346346848 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346346848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS 1642 (Tennessee) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 146 (Tennessee) | Primary |
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