DR. Douglas Jackson, DDS

NPI #1457401762 in Red Springs, North Carolina

Provider Information

NPI Number
1457401762
Entity Type
Individual
Name
DR. Douglas Jackson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jan 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
714 E. 4TH AVE
ZIP Code
28377
Phone
(910) 843-3353

Specialties & Taxonomy Codes

Specialty
Dentist

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