# BALANCED DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAVID C JACKSON DMD PA
- **Other names:** Balanced Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588187819
- **Legal business name:** DAVID C JACKSON DMD PA
- **Authorized official:** DR. DAVID CRESTON JACKSON DMD (PRESIDENT)
- **Authorized official phone:** (772) 247-2407

## Contact information

- **Practice address:** 900 SE OCEAN BLVD STE 110B, STUART, FL 34994-3503
- **Practice address phone:** (954) 818-6102
- **Mailing address:** 900 SE OCEAN BLVD STE 110B, STUART, FL 34994-3503
- **Mailing address phone:** (772) 247-2407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2017
- **Last updated:** 10/08/2017