Brian E Jackson DDS LLC
NPI #1306400353 in Willoughby Hills, Ohio
Provider Information
- NPI Number
- 1306400353
- Entity Type
- Organization
- Organization Name
- Brian E Jackson DDS LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BRIAN E JACKSON DDS LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 25, 2019
- Last Updated
- Apr 25, 2019
Practice Location
- Address
- 2775 BISHOP RD STE C
- City
- Willoughby Hills
- State
- Ohio
- ZIP Code
- 44092-2683
- Phone
- (440) 944-7775
Authorized Official
- Name
- DR. BRIAN EDWARD JACKSON, DDS
- Title
- OWNER
- Phone
- (440) 944-7775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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