Individual
DR. NATHANIAL DAMON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054051
NY
122300000X
Dentist
Primary
DEN1000767
DC
Other
Enumeration date
10/10/2008
Last updated
03/12/2025
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