DR. Amanda Jackson, D.D.S.

NPI #1437370582 in Covington, Washington

Provider Information

NPI Number: 1437370582
Entity Type: Individual
Name: DR. Amanda Jackson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 2, 2007
Last Updated: Nov 24, 2014

Practice Location

Address: 27081 185TH AVE SE
Address 2: STE B105
City: Covington
State: Washington
ZIP Code: 98042-8448
Phone: (253) 981-4950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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