Timothy Michael Jackson, DMD

NPI #1972610947 in Elba, Alabama

Provider Information

NPI Number: 1972610947
Entity Type: Individual
Name: Timothy Michael Jackson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 982 DRAYTON AVENUE
City: Elba
State: Alabama
ZIP Code: 36323
Phone: (334) 897-3418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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