Jupiter 4gd, LLC
Jupiter 4gd, LLC is a healthcare organization registered as Dental Clinic/Center in Lebanon, TN, holding Type 2 (organization) NPI 1710679071 since 2023. The authorized official on file is Michael Tabor, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710679071 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jupiter 4gd, LLC |
| Other name | <Unavail> |
| Practice address | 110 WINWOOD DR, Lebanon, TN, 37087 |
| Phone | 6154538900 |
| Enumeration date | 2023-05-24 |
| Last updated in NPPES | 2023-07-31 |
Authorized official
| Name | Michael Tabor |
|---|---|
| Title | Owner |
| Phone | 6154538900 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Jupiter 4gd, LLC NPI: 1710679071 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 110 WINWOOD DR, Lebanon, TN, 37087
Verify this record
Cross-check NPI 1710679071 against the authoritative CMS record: view Jupiter 4gd, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Jupiter 4gd, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-31.