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
- City
- Red Springs
- State
- North Carolina
- ZIP Code
- 28377
- Phone
- (910) 843-3353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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Organizations
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|---|---|
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