DR. Neall Clark Jackson, D.D.S.

NPI #1679699607 in Wynne, Arkansas

Provider Information

NPI Number: 1679699607
Entity Type: Individual
Name: DR. Neall Clark Jackson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 715 EAST ELDRIDGE AVENUE
City: Wynne
State: Arkansas
ZIP Code: 72396-0368
Phone: (870) 238-3628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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