DR. William Travis Jackson, DDS

NPI #1497915086 in Nevada, Missouri

Provider Information

NPI Number: 1497915086
Entity Type: Individual
Name: DR. William Travis Jackson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 17, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 402 E WALNUT ST
City: Nevada
State: Missouri
ZIP Code: 64772-2458
Phone: (417) 667-3006

Specialties & Taxonomy Codes

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

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