DR. Anthony D Jackson, D.D.S.

NPI #1346254596 in Plant City, Florida

Provider Information

NPI Number: 1346254596
Entity Type: Individual
Name: DR. Anthony D Jackson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 512 E ALEXANDER ST
City: Plant City
State: Florida
ZIP Code: 33563-7165
Phone: (813) 752-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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