Eddie C. Jackson DMD

NPI 1073625687 - Dentist - 1223G0001X

NPI Details
NPI 1073625687
Gender Male
Enumeration Date 08/31/2006
Last Updated 06/19/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1300 HIGHWAY 231 S
TROY AL, 36081-3058, US
Phone (334) 566-7600
Fax (334) 566-9181
Business Location
PO BOX 928
TROY AL, 36081-0928, US
Phone (334) 566-7600
Fax (334) 566-9181
Taxonomy Code 1223G0001X
License State Alabama
License Number 5377
Remove 1073625687 NPI Number

According to our database, Dr. Eddie C. Jackson DMD NPI is 1073625687, taxonomy code is 1223G0001X and license number is 5377, license state is located at Alabama. Eddie C. Jackson DMD physically located at 1300 Highway 231 S, Troy AL, 36081-3058. NPI Number Eddie C. Jackson DMD has the Individual type.

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1073625687 NPI number is provided on an as is basis without warranty of any kind. 1073625687 is maintained by the National Plan & Provider Enumeration System. The contents of Eddie C. Jackson DMD are for informational purposes only.