DR. Richard M Jackson JR., DDS

NPI #1801123633 in Porter, Oklahoma

Provider Information

NPI Number
1801123633
Entity Type
Individual
Name
DR. Richard M Jackson JR., DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 16, 2009
Last Updated
Jan 5, 2012

Practice Location

Address
505 S MAIN
City
Porter
ZIP Code
74454
Phone
(918) 483-0012

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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