Brian E Jackson DDS LLC
NPI #1801349154 in Willoughby Hills, Ohio
Provider Information
- NPI Number
- 1801349154
- Entity Type
- Organization
- Organization Name
- Brian E Jackson DDS LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 3, 2016
- Last Updated
- Aug 9, 2016
Practice Location
- Address
- 2775 BISHOP RD
- Address 2
- SUITE C
- City
- Willoughby Hills
- State
- Ohio
- ZIP Code
- 44092-2683
- Phone
- (440) 944-7775
Authorized Official
- Name
- BRIAN E JACKSON
- Title
- OWNER
- Phone
- (440) 944-7775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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