W. Gerald Jackson D.M.D.

NPI 1053479386 - Dentist - 1223G0001X

NPI Details
NPI 1053479386
Gender Male
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12 ARLINGTON RD
STE102
DEVON PA, 19333-1573, US
Phone (610) 687-5336
Fax (610) 687-9441
Business Location
12 ARLINGTON RD
STE102
DEVON PA, 19333-1573, US
Phone (610) 687-5336
Fax (610) 687-9441
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN9241
Remove 1053479386 NPI Number
 

According to our database, Dr. W. Gerald Jackson D.M.D. NPI is 1053479386, taxonomy code is 1223G0001X and license number is DN9241, license state is located at Florida. W. Gerald Jackson D.M.D. physically located at 12 Arlington Rd, Devon PA, 19333-1573. NPI Number W. Gerald Jackson D.M.D. has the Individual type.

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1053479386 NPI number is provided on an as is basis without warranty of any kind. 1053479386 is maintained by the National Plan & Provider Enumeration System. The contents of W. Gerald Jackson D.M.D. are for informational purposes only.