DR. David M. Jackson, D.D.S.

NPI #1699812644 in Hannibal, Missouri

Provider Information

NPI Number: 1699812644
Entity Type: Individual
Name: DR. David M. Jackson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jan 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2727 SAINT MARYS AVE
City: Hannibal
State: Missouri
ZIP Code: 63401-3774
Phone: (573) 221-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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