DR. Brian Clark Jackson, D.D.S.

NPI #1336308683 in Henderson, Texas

Provider Information

NPI Number: 1336308683
Entity Type: Individual
Name: DR. Brian Clark Jackson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 3, 2008
Last Updated: Jun 3, 2008

Practice Location

Address: 1910 STATE HIGHWAY 43 E
City: Henderson
State: Texas
ZIP Code: 75652-9106
Phone: (903) 657-3139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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