Brandi R. Jackson Dds, Ms, Pllc

NPI #1881975191 in Davidson, North Carolina

Provider Information

NPI Number: 1881975191
Entity Type: Organization
Organization Name: Brandi R. Jackson Dds, Ms, Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 31, 2011
Last Updated: Aug 31, 2011

Practice Location

Address: 11223 DAVINCI DR
City: Davidson
State: North Carolina
ZIP Code: 28036-7799
Phone: (704) 895-6445

Authorized Official

Name: DR. BRANDI R JACKSON, DDS, MS
Title: OWNER/DENTIST
Phone: (704) 895-6445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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