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Organization
JAMES D. JACKSON DDS PC
Active
Organization
JAMES D. JACKSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE J HONEY (OFFICE MANAGER)
(906) 228-9070
Entity
Organization
Contact information
Practice address
101 S FRONT ST STE 201, MARQUETTE, MI 49855-4641
(906) 228-9070
(906) 356-3400
Mailing address
101 S FRONT ST STE 201, MARQUETTE, MI 49855-4641
(906) 228-9070
(906) 356-3400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568517944
INDIVIDUAL NPI
—
Enumeration date
11/20/2018
Last updated
11/20/2018
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