Alicia Renee Jackson, DDS PC

NPI #1023805181 in New York, New York

Provider Information

NPI Number: 1023805181
Entity Type: Organization
Organization Name: Alicia Renee Jackson, DDS PC
Primary Specialty: Dentist
Enumeration Date: Apr 22, 2025
Last Updated: Apr 22, 2025

Practice Location

Address: 245 5TH AVE FL 3
City: New York
State: New York
ZIP Code: 10016-8728
Phone: (800) 338-3131

Authorized Official

Name: DR. ALICIA RENEE JACKSON, DDS
Title: PRESIDENT DIRECTOR
Phone: (917) 747-6574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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