DR. Joseph Daniel Jackson, D.M.D.

NPI #1598801011 in Moline, Illinois

Provider Information

NPI Number
1598801011
Entity Type
Individual
Name
DR. Joseph Daniel Jackson, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jan 30, 2007
Last Updated
Jan 24, 2013

Practice Location

Address
2900 41ST ST
City
Moline
ZIP Code
61265-7823
Phone
(309) 764-3242

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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