MERSEDES JACKSON, DDS

Dentist

Active Individual
NPI: 1639664527

Practice Address

KENNER ARMY HEALTH CLINIC
700 24TH STREET
Fort Gregg-adams, VA 23801

Phone: (804) 734-5365

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 0401416895 (VA)

Frequently Asked Questions

NPI 1639664527 is the National Provider Identifier for MERSEDES JACKSON, DDS, a Dentist provider located in Fort Gregg-adams, VA. This NPI was enumerated on June 25, 2018.
MERSEDES JACKSON, DDS practices at KENNER ARMY HEALTH CLINIC, 700 24TH STREET, Fort Gregg-adams, VA 23801.

Quick Facts

NPI
1639664527
Type
Individual
Enumerated
Jun 25, 2018
Last Updated
Nov 7, 2024

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