DR. Jackie Dale Nanny, D.M.D.
NPI #1518950534 in Beaufort, South Carolina
Provider Information
- NPI Number
- 1518950534
- Entity Type
- Individual
- Name
- DR. Jackie Dale Nanny, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.M.D.
- Enumeration Date
- Aug 24, 2005
- Last Updated
- Sep 14, 2007
Practice Location
- Address
- 188 NICARAGUA ST
- City
- Beaufort
- State
- South Carolina
- ZIP Code
- 29902-7552
- Phone
- (843) 228-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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