DR. Carl Dennis Jackson, D.M.D.

NPI #1285848309 in Aston, Pennsylvania

Provider Information

NPI Number: 1285848309
Entity Type: Individual
Name: DR. Carl Dennis Jackson, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: May 9, 2007
Last Updated: Dec 7, 2012

Practice Location

Address: 3200 CONCORD RD
Address 2: SUITE 200
City: Aston
State: Pennsylvania
ZIP Code: 19014-1931
Phone: (610) 872-7461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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