Kevin R Jackson, DDS
NPI #1265570683 in Powder Springs, Georgia
Provider Information
- NPI Number
- 1265570683
- Entity Type
- Individual
- Name
- Kevin R Jackson, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 4150 MACLAND RD
- Address 2
- SUITE 205
- City
- Powder Springs
- State
- Georgia
- ZIP Code
- 30127-1202
- Phone
- (770) 222-1344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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