ORTHODONTIC SPECIALTY GROUP P.A.
Organization (NPI-2)
Active
Dentist, Orthodontics and Dentofacial Orthopedics
Provider Information
- NPI Number
1417941469- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 101 MAX LANE DR, JACKSON, TN, 383055206
- Phone
- (731) 427-1696
Specialties & Taxonomies
Dentist, Orthodontics and Dentofacial Orthopedics
Primary License: TN #DS3336