Farragut Modern Dentistry, Pc Dental Clinic

Get detailed information about Farragut Modern Dentistry, Pc dental clinic in Irvine California.
Farragut Modern Dentistry, Pc (FARRAGUT MODERN DENTISTRY, PC) is a Dental Clinic in Farragut, Tennessee. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Farragut Modern Dentistry, Pc is 1073087714.

The current location address for Farragut Modern Dentistry, Pc is 109 Campbell Station Rd., , Farragut, Tennessee and the contact number is 865-622-8898 and fax number is --. The mailing address for Farragut Modern Dentistry, Pc is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - --).


Provider Profile Details:
Clinic NameFarragut Modern Dentistry, Pc
Provider OrganizationFARRAGUT MODERN DENTISTRY, PC
Address109 Campbell Station Rd., ,
Farragut
Tennessee, 37934
Phone Number865-622-8898
Fax Number--
Authorized Official NameDr. Tanisha Jackson
Authorized Official Title/PositionOwner/dds
Authorized Official Contact Number865-622-8898
NPI Number Details:
NPI Number1073087714
Provider Enumeration Date01/16/2019
Last Update Date08/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number--
Fax Number--
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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