Organization
RICHARD L. JACKSON, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L. JACKSON D.D.S. (OWNER / PRESIDENT)
(513) 321-3037
Entity
Organization
Contact information
Practice address
3650 ERIE AVE, CINCINNATI, OH 45208-1928
(513) 321-3037
(513) 321-2071
Mailing address
3650 ERIE AVE, CINCINNATI, OH 45208-1928
(513) 321-3037
(513) 321-2071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17359
OH
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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