K JACKSON DMD PC

Dentist - General Practice

Active Organization
NPI: 1952447153

Practice Address

204 SMITH ST
Lagrange, GA 30240

Phone: (706) 884-4254

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes DN011604 (GA)

Frequently Asked Questions

NPI 1952447153 is the National Provider Identifier for K JACKSON DMD PC, a Dentist - General Practice provider located in Lagrange, GA. This NPI was enumerated on January 29, 2007.

Quick Facts

NPI
1952447153
Type
Organization
Enumerated
Jan 29, 2007
Last Updated
Aug 22, 2020

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