MT. JULIET DENTAL GROUP
NPI 1720537491
Dentist in Mt. Juliet, TN

Q: What is Mt. Juliet Dental Group, PC's NPI number?

The NPI number for Mt. Juliet Dental Group, PC is 1720537491. It was assigned to this organization in the NPPES registry on September 23, 2016. The provider is doing business as Mt. Juliet Dental Group.

Q: What is Mt. Juliet Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 23, 2016

4155 N MT JULIET RD, MT. JULIET, TN 37122(615) 241-8023(615) 922-3768 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2016, Sep 23, 2016 (2 updates tracked since 2016).

On this page

About Mt. Juliet Dental Group NPPES

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

MT. JULIET DENTAL GROUP (NPI 1720537491) is a healthcare organization registered as a dentist in Mt. Juliet, Tennessee and active in the NPI registry since September 2016. The organization lists Tanisha A Jackson, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1720537491

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMT. JULIET DENTAL GROUP, PC

Location Address4155 N MT JULIET RDMt. Juliet, TN 37122

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(615) 241-8023

Fax(615) 922-3768

Organization SubpartNo

Authorized OfficialTanisha A JacksonOwner Dentist · (615) 241-8023

Enumeration DateSeptember 23, 2016

Last NPPES UpdateOctober 21, 20162 updates tracked since enumeration

✔ NPI 1720537491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4155 N MT JULIET RD, Mt. Juliet, TN 37122

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Other Names 1

Doing Business AsMt. Juliet Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 Mt. Juliet Dental Group, PC's NPI number?

The NPI number for Mt. Juliet Dental Group, PC is 1720537491. It was assigned to this organization in the NPPES registry on September 23, 2016. The provider is doing business as Mt. Juliet Dental Group.

Where is Mt. Juliet Dental Group, PC located?

Mt. Juliet Dental Group, PC is located at 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122. The listed phone number is (615) 241-8023.

What is Mt. Juliet Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mt. Juliet Dental Group, PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mt. Juliet Dental Group, PC 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 Mt. Juliet Dental Group, PC was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.