Jackson Sleep Centers Pllc

NPI #1265887210 in Dunlap, Illinois

Provider Information

NPI Number: 1265887210
Entity Type: Organization
Organization Name: Jackson Sleep Centers Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 27, 2016
Last Updated: Apr 27, 2016

Practice Location

Address: 11825 STATE ROUTE 40
Address 2: SUITE 100
City: Dunlap
State: Illinois
ZIP Code: 61525-8842
Phone: (309) 839-9971

Authorized Official

Name: BRENT JACKSON, DDS
Title: OWNER
Phone: (810) 664-4641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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