Charles Russell Jackson, DDS
NPI #1306929856 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1306929856
- Entity Type
- Individual
- Name
- Charles Russell Jackson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Endodontics
- Credential
- DDS
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 MED CENTER DIRVE
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26506
- Phone
- (304) 293-2240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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