Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Dental Alliance, PLLC

Organization Dental Clinic/Center · NPI 1396431060

Jackson Dental Alliance, PLLC is a Dental Clinic/Center in Mt Juliet, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40 W Caldwell St Ste 202
Mt Juliet, TN 37122-3179
Phone: (615) 758-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1396431060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Jackson — President/Ceo · (615) 406-6780
NPI enumeratedApril 14, 2023
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023
Mailing address2740 S Mount Juliet Rd, Mount Juliet, TN 37122-6202

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