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JEFFERSON DENTAL
NPI 1083975221
Clinic/Center - Dental in Jefferson City, TN

Active since June 05, 2012
1205 GEORGE AVE, JEFFERSON CITY, TN 37760(865) 475-8988(865) 475-1103 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jefferson Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON DENTAL (NPI 1083975221) is a healthcare organization registered as a dental in Jefferson City, Tennessee and active in the NPI registry since June 2012. The organization lists Donna B Fairbanks, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083975221
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJEFFERSON DENTAL
Location Address1205 GEORGE AVEJefferson City, TN 37760-2759
Mailing Address1205 George AveJefferson City, TN 37760-2759 · (865) 475-8988 · Fax (865) 475-1103
Phone(865) 475-8988
Fax(865) 475-1103
Organization SubpartNo
Authorized OfficialDonna B FairbanksOffice Manager · (865) 475-8988
Enumeration DateJune 5, 2012
✔ NPI 1083975221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TN · DS0000003187
1205 GEORGE AVE, Jefferson City, TN 37760
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REAGAN GENTLE DENTAL, PLLC
Clinic/Center (Dental)
1205 GEORGE AVE
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-8988
DR. WALTER STUART TIPTON DDS
Dentist (General Practice)
1205 GEORGE AVE
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-8988

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Dental's NPI number?

The NPI number for Jefferson Dental is 1083975221. It was assigned to this organization in the NPPES registry on June 5, 2012.

Where is Jefferson Dental located?

Jefferson Dental is located at 1205 George Ave, Jefferson City, TN 37760. The listed phone number is (865) 475-8988.

What is Jefferson Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jefferson Dental was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.