Provider Demographics
NPI:1215406368
Name:MAKEYA JENKINS, DDS, PLLC
Entity Type:Organization
Organization Name:MAKEYA JENKINS, DDS, PLLC
Other - Org Name:MISSION DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAKEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-366-4141
Mailing Address - Street 1:2120 MURFREESBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3311
Mailing Address - Country:US
Mailing Address - Phone:615-366-4141
Mailing Address - Fax:615-399-9702
Practice Address - Street 1:2120 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3311
Practice Address - Country:US
Practice Address - Phone:615-366-4141
Practice Address - Fax:615-399-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental