Daniel Jackson DDS PC
NPI #1225205362 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1225205362
- Entity Type
- Organization
- Organization Name
- Daniel Jackson DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 8, 2008
- Last Updated
- May 8, 2008
Practice Location
- Address
- 821 WEST PINE BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4956
- Phone
- (573) 785-6434
Authorized Official
- Name
- DR. DANIEL JACKSON, DDS
- Title
- CORPORATE PRESIDENT
- Phone
- (573) 785-6434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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