DR. Zachary Jacob Jackson

NPI #1548874274 in Fort Polk, Louisiana

Provider Information

NPI Number: 1548874274
Entity Type: Individual
Name: DR. Zachary Jacob Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Sep 1, 2020
Last Updated: Aug 4, 2025

Practice Location

Address: 7223 MISSISSIPPI AVE
City: Fort Polk
State: Louisiana
ZIP Code: 71459-0001
Phone: (726) 780-1451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - General Practice — General Practice	1223G0001X

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