| Fcd of Jackson, PLLC | |
|
1523 S. Highland Avenue Jackson TN 38301-7520 | |
| (731) 424-6452 | |
| (731) 424-9719 |
| Full Name | Fcd of Jackson, PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1523 S. Highland Avenue, Jackson, Tennessee |
| Authorized Official Name and Position | Minish Y. Patel (DOCTOR/OWNER) |
| Authorized Official Contact | 7314246452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fcd of Jackson, PLLC 1523 S. Highland Avenue Jackson TN 38301-7520 Ph: (731) 424-6452 | Fcd of Jackson, PLLC 1523 S. Highland Avenue Jackson TN 38301-7520 Ph: (731) 424-6452 |
| NPI Number | 1568538965 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568538965 | NPI | - | NPPES |
| 1526237 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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Jesse M. Thomas, D.D.S., PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 681 Skyline Drive, Jackson, TN 38301 Phone: 731-424-7690 Fax: 731-423-9167 |