DR. Phil D Jackson, DDS

NPI #1134289713 in Sulphur Springs, Texas

Provider Information

NPI Number: 1134289713
Entity Type: Individual
Name: DR. Phil D Jackson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 427 N DAVIS
City: Sulphur Springs
State: Texas
ZIP Code: 75482
Phone: (903) 885-7925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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