Elbert E Jackson, DDS

NPI #1356419055 in Madison, Tennessee

Provider Information

NPI Number
1356419055
Entity Type
Individual
Name
Elbert E Jackson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS
Enumeration Date
Dec 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
200 GLEAVES ST
Address 2
SUITE C
ZIP Code
37115-2154
Phone
(615) 859-1881

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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