DR. Daniel Jackson, D.D.S
NPI #1124342803 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1124342803
- Entity Type
- Individual
- Name
- DR. Daniel Jackson, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Mar 24, 2010
- Last Updated
- Mar 24, 2010
Practice Location
- Address
- 821 W PINE ST
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4956
- Phone
- (573) 785-6434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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