Individual
DR. LINDSEY DAWN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22 EXCHANGE ST, GORHAM, NH 03581-1604
(603) 466-5015
Mailing address
22 EXCHANGE ST, GORHAM, NH 03581-1604
(603) 466-5015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3999
NH
122300000X
Dentist
DN1856035
MA
Other
Enumeration date
07/02/2012
Last updated
02/12/2015
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