Callen Deyoung Jackson, DMD
NPI #1164151247 in Brandon, Mississippi
Provider Information
- NPI Number
- 1164151247
- Entity Type
- Individual
- Name
- Callen Deyoung Jackson, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 6, 2022
- Last Updated
- Jun 6, 2022
Practice Location
- Address
- 2139 HIGHWAY 471
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-8748
- Phone
- (769) 241-5807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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