Organization
THE DENTAL GROUP OF FORT WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA C. JACKSON DDS (OWNER)
(301) 248-3810
Entity
Organization
Contact information
Practice address
6710 OXON HILL RD, SUITE #350, OXON HILL, MD 20745-1121
(301) 248-3810
(301) 449-6746
Mailing address
2203 PARKSIDE DR, MITCHELLVILLE, MD 20721-4228
(301) 390-2575
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9883
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN4466
DC
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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