Individual
NATALIE ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 W PLEASANT GROVE RD STE 111, ROGERS, AR 72758-8514
(479) 282-1023
Mailing address
7160 HAZEL CT, SPRINGDALE, AR 72762-0861
(479) 721-1048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2023022968
MO
122300000X
Dentist
Primary
4722
AR
Other
Enumeration date
04/19/2023
Last updated
04/04/2024
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