# J. ANDREW JACKSON, D.D.S. LTD., LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962734160
- **Authorized official:** MISTY ADAMITZ (OFFICE MGR.)
- **Authorized official phone:** (210) 924-4279

## Contact information

- **Practice address:** 600 DIVISION, SUITE E., SAN ANTONIO, TX 78214
- **Practice address phone:** (210) 924-4279
- **Practice address fax:** (210) 924-4270
- **Mailing address:** 600 DIVISION, SUITE E., SAN ANTONIO, TX 78214
- **Mailing address phone:** (210) 924-4279
- **Mailing address fax:** (210) 924-4270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14522 | TX | Yes |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 02/12/2010