Provider Demographics
NPI:1437897907
Name:BAKARI, JAJA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAJA
Middle Name:
Last Name:BAKARI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 CAHAL AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-1624
Mailing Address - Country:US
Mailing Address - Phone:323-347-9370
Mailing Address - Fax:
Practice Address - Street 1:1210 HAZELWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3964
Practice Address - Country:US
Practice Address - Phone:615-930-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12099122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist