John M. Jackson, Jr., D.m.d., P.c.

NPI #1033455647 in Lagrange, Georgia

Provider Information

NPI Number
1033455647
Entity Type
Organization
Organization Name
John M. Jackson, Jr., D.m.d., P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 31, 2012
Last Updated
Dec 31, 2012

Practice Location

Address
304 S LEWIS ST
State
Georgia
ZIP Code
30240-3144
Phone
(706) 845-0544

Authorized Official

Name
DR. JOHN MORGAN JACKSON JR., D.M.D.
Title
PRESIDENT
Phone
(706) 845-0544

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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