DR. Brian E Jackson, DDS
NPI #1689665408 in Willoughby Hills, Ohio
Provider Information
- NPI Number
- 1689665408
- Entity Type
- Individual
- Name
- DR. Brian E Jackson, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 1, 2005
- Last Updated
- Apr 24, 2019
Practice Location
- Address
- 2775 BISHOP RD
- Address 2
- SUITE C
- City
- Willoughby Hills
- State
- Ohio
- ZIP Code
- 44092-2683
- Phone
- (440) 944-7775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Dentist |
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