DR. Brent A Jackson, D.D.S.

NPI #1336375138 in Henderson, Texas

Provider Information

NPI Number: 1336375138
Entity Type: Individual
Name: DR. Brent A Jackson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 8, 2009
Last Updated: Jun 13, 2013

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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