DR. Ernest W Jackson, DDS

NPI #1124113246 in Clayton, Missouri

Provider Information

NPI Number
1124113246
Entity Type
Individual
Name
DR. Ernest W Jackson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Dental Public Health
Credential
DDS
Enumeration Date
Oct 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
111 S MERAMEC AVE
ZIP Code
63105-1711
Phone
(314) 615-8153

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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