Mallette, Jack Daniel

Mallette, Jack Daniel is an individual health care provider with primary practice located at 538 Brandies Circle Suite 102, Murfreesboro TN 37128. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mallette, Jack Daniel can be contacted via phone (615) 494-5487.

Contact Information

Primary practice address
538 Brandies Circle Suite 102 Murfreesboro TN 37128
Phone: (615) 494-5487
Fax: (615) 494-4649
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS0000008406 Tennessee

Profile Details

NPI number 1932328317
LBN Legal business name Mallette, Jack Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Sep 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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