DR. LARRY JACKSON, D.D.S.
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1396186276
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | D009113 (AZ) |
Frequently Asked Questions
NPI 1396186276 is the National Provider Identifier for DR. LARRY JACKSON, D.D.S., a Dentist - Pediatric Dentistry provider located in Peoria, AZ. This NPI was enumerated on July 8, 2013.
DR. LARRY JACKSON, D.D.S. practices at 14100 N 83RD AVE, STE 280, Peoria, AZ 85381.
Quick Facts
- NPI
- 1396186276
- Type
- Individual
- Enumerated
- Jul 8, 2013
- Last Updated
- Apr 7, 2017
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