Organization
ALICIA RENEE JACKSON, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA RENEE JACKSON DDS (PRESIDENT DIRECTOR)
(917) 747-6574
Entity
Organization
Contact information
Practice address
245 5TH AVE FL 3, NEW YORK, NY 10016-8728
(800) 338-3131
Mailing address
245 5TH AVE FL 3, NEW YORK, NY 10016-8728
(800) 338-3131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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