Jackson Dental

NPI #1407120504 in Lapeer, Michigan

Provider Information

NPI Number
1407120504
Entity Type
Organization
Organization Name
Jackson Dental
Primary Specialty
Dentist
Enumeration Date
Mar 7, 2012
Last Updated
May 4, 2017

Practice Location

Address
456 S MAIN ST
City
Lapeer
ZIP Code
48446-2427
Phone
(810) 667-3535

Authorized Official

Name
DR. THOMAS DIRK JACKSON, DDS
Title
OWNER
Phone
(810) 667-3535

Specialties & Taxonomy Codes

Specialty
Dentist

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