Organization
DR. WILLIAM G. JACKSON JR. DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G JACKSON JR. DDS (OWNER)
(513) 561-5318
Entity
Organization
Contact information
Practice address
7113 MIAMI AVE, CINCINNATI, OH 45243-2616
(513) 561-5318
(513) 561-1120
Mailing address
7113 MIAMI AVE, CINCINNATI, OH 45243-2616
(513) 561-5318
(513) 561-1120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30015160
OH
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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