DR. RICHARD JACKSON JR., DDS
Dentist - General Practice
Active
Individual
NPI: 1801123633
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 5920 (OK) |
Frequently Asked Questions
NPI 1801123633 is the National Provider Identifier for DR. RICHARD JACKSON JR., DDS, a Dentist - General Practice provider located in Porter, OK. This NPI was enumerated on November 16, 2009.
DR. RICHARD JACKSON JR., DDS practices at 505 S MAIN, Porter, OK 74454.
Quick Facts
- NPI
- 1801123633
- Type
- Individual
- Enumerated
- Nov 16, 2009
- Last Updated
- Jan 5, 2012
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DR. JULIE MCINTOSH, MD
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