ELITE DENTAL CARE JACKSON
NPI 1356076152
Clinic/Center - Dental in Jackson, TN

Active since July 18, 2022
47 N STAR DR, JACKSON, TN 38305(731) 664-9556 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elite Dental Care Jackson NPPES

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

ELITE DENTAL CARE JACKSON (NPI 1356076152) is a healthcare organization registered as a dental in Jackson, Tennessee and active in the NPI registry since July 2022. The organization lists Tom Lannom, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1356076152
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELITE DENTAL CARE JACKSON
Location Address47 N STAR DRJackson, TN 38305-6647
Mailing Address2066 Us Highway 45 Byp STrenton, TN 38382-3507 · (731) 855-1053
Organization SubpartNo
Authorized OfficialTom LannomChief Operating Officer · (731) 855-1053
Enumeration DateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
NPI 1356076152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
47 N STAR DR, Jackson, TN 38305

Other Names 1

Doing Business AsElite Dental Care Jackson

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
47 N STAR DR
JACKSON, TN 38305
Dentist (General Practice)
47 N STAR DR
JACKSON, TN 38305
Dentist
47 N STAR DR
JACKSON, TN 38305

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 Elite Dental Care Jackson's NPI number?

The NPI number for Elite Dental Care Jackson is 1356076152. It was assigned to this organization in the NPPES registry on July 18, 2022.

Where is Elite Dental Care Jackson located?

Elite Dental Care Jackson is located at 47 N Star Dr, Jackson, TN 38305. The listed phone number is (731) 664-9556.

What is Elite Dental Care Jackson's specialty?

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

What insurance does Elite Dental Care Jackson accept?

Health plans from UnitedHealthcare list Elite Dental Care Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elite Dental Care Jackson was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.