Laura Jackson
NPI #1619853264 in Rogersville, Missouri
Provider Information
- NPI Number
- 1619853264
- Entity Type
- Individual
- Name
- Laura Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Aug 11, 2025
- Last Updated
- Aug 11, 2025
Practice Location
- Address
- 203 JAMESTOWN BLVD
- City
- Rogersville
- State
- Missouri
- ZIP Code
- 65742-6525
- Phone
- (417) 929-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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