Individual
DR. HAROLD O JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3106 RIVER DR, NASHVILLE, TN 37218-3229
(615) 830-0744
Mailing address
3106 RIVER DR, NASHVILLE, TN 37218-3229
(615) 973-7418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7306
TN
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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