Douglas D Jackson, DDS
NPI #1568429173 in Belcourt, North Dakota
Provider Information
- NPI Number
- 1568429173
- Entity Type
- Individual
- Name
- Douglas D Jackson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Apr 27, 2006
- Last Updated
- Feb 19, 2015
Practice Location
- Address
- 1300 HOSPITAL LOOP
- City
- Belcourt
- State
- North Dakota
- ZIP Code
- 58316
- Phone
- (701) 477-6111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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