Kenneth J. Jackson D.d.s., Inc.
NPI #1902070998 in Wapakoneta, Ohio
Provider Information
- NPI Number
- 1902070998
- Entity Type
- Organization
- Organization Name
- Kenneth J. Jackson D.d.s., Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 22, 2008
- Last Updated
- Apr 22, 2008
Practice Location
- Address
- 809 REDSKIN TRL
- City
- Wapakoneta
- State
- Ohio
- ZIP Code
- 45895-8546
- Phone
- (419) 738-2426
Authorized Official
- Name
- DR. KENNETH J JACKSON
- Title
- PRESIDENT
- Phone
- (419) 738-2426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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