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Organization
STEVEN C. JACKS, D.D.S., INC.
Active
Organization
STEVEN C. JACKS, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN C. JACKS D.D.S. (PRESIDENT)
(937) 277-8959
Entity
Organization
Contact information
Practice address
7111 N MAIN ST, DAYTON, OH 45415-2565
(937) 277-8959
(937) 277-6161
Mailing address
7111 N MAIN ST, DAYTON, OH 45415-2565
(937) 277-8959
(937) 277-6161
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19745
OH
Other
Enumeration date
08/27/2007
Last updated
06/13/2013
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