Tayler Yvette Keith Jackson, DDS

NPI #1841848421 in Hiram, Georgia

Provider Information

NPI Number: 1841848421
Entity Type: Individual
Name: Tayler Yvette Keith Jackson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 28, 2019
Last Updated: Sep 24, 2021

Practice Location

Address: 5140 JIMMY LEE SMITH PKWY
City: Hiram
State: Georgia
ZIP Code: 30141-2745
Phone: (770) 439-1038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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