DR. Tanner Jackson, DDS

NPI #1609442367 in Hastings, Minnesota

Provider Information

NPI Number
1609442367
Entity Type
Individual
Name
DR. Tanner Jackson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 2, 2021
Last Updated
Jun 2, 2021

Practice Location

Address
1222 N FRONTAGE RD
ZIP Code
55033-2359
Phone
(651) 437-1166

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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