DR. Joseph C Jackson JR., DDS,PA
NPI #1801918602 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1801918602
- Entity Type
- Individual
- Name
- DR. Joseph C Jackson JR., DDS,PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS,PA
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Aug 11, 2020
Practice Location
- Address
- 147 2ND AVE S STE 308
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33701-4393
- Phone
- (727) 415-6389
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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