Daniel Jackson D.D.S

NPI 1124342803 - Dentist - 122300000X

NPI Details
NPI 1124342803
Gender Male
Enumeration Date 03/24/2010
Last Updated 03/24/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
821 W PINE ST
POPLAR BLUFF MO, 63901-4956, US
Phone (573) 785-6434
Fax (573) 785-6435
Business Location
821 W PINE ST
POPLAR BLUFF MO, 63901-4956, US
Phone (573) 785-6434
Fax (573) 785-6435
Toxanomy
Taxonomy Code 122300000X
License State Missouri
License Number 14158
Remove 1124342803 NPI Number
 

According to our database, Dr. Daniel Jackson D.D.S NPI is 1124342803, taxonomy code is 122300000X and license number is 14158, license state is located at Missouri. Daniel Jackson D.D.S physically located at 821 W Pine St, Poplar Bluff MO, 63901-4956. NPI Number Daniel Jackson D.D.S has the Individual type.

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1124342803 NPI number is provided on an as is basis without warranty of any kind. 1124342803 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Jackson D.D.S are for informational purposes only.