Michael R. Jackson D.d.s., Inc.

NPI #1437270758 in Ft Worth, Texas

Provider Information

NPI Number: 1437270758
Entity Type: Organization
Organization Name: Michael R. Jackson D.d.s., Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6924 SOUTH FWY
City: Ft Worth
State: Texas
ZIP Code: 76134-3800
Phone: (817) 293-7431

Authorized Official

Name: DR. MICHAEL ROY JACKSON, DDS
Title: PRESIDENT OWNER
Phone: (817) 293-7431

Specialties & Taxonomy Codes

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

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