Richard Jackson, DMD
NPI #1629409420 in Aiken, South Carolina
Provider Information
- NPI Number
- 1629409420
- Entity Type
- Individual
- Name
- Richard Jackson, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Dec 3, 2013
- Last Updated
- Dec 3, 2013
Practice Location
- Address
- 2759 WHISKEY RD
- City
- Aiken
- State
- South Carolina
- ZIP Code
- 29803-6197
- Phone
- (803) 649-3411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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