Melissa D Jackson, DMD
NPI #1871930099 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1871930099
- Entity Type
- Individual
- Name
- Melissa D Jackson, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- May 29, 2013
- Last Updated
- Oct 17, 2024
Practice Location
- Address
- EDGEWOOD DENTAL
- Address 2
- 7 MUNICIPAL WAY
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015
- Phone
- (505) 281-3406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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