DR. Ralph Dudley Jackson III, D.D.S.
NPI #1104817154 in Alexandria, Louisiana
Provider Information
- NPI Number
- 1104817154
- Entity Type
- Individual
- Name
- DR. Ralph Dudley Jackson III, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S.
- Enumeration Date
- Oct 31, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1400 METRO DR
- City
- Alexandria
- State
- Louisiana
- ZIP Code
- 71301-3451
- Phone
- (318) 487-0075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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