Individual
DR. DAVID JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 RIDGE RD, RALEIGH, NC 27607-6834
(919) 828-9495
(919) 828-8939
Mailing address
1201 RIDGE RD, RALEIGH, NC 27607-6834
(919) 828-9495
(919) 828-8939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5303
NC
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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