Organization
JACKSON & JACKSON DENTAL, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MORGAN JACKSON JR. DMD (MANAGING PARTNER)
(706) 845-0544
Entity
Organization
Contact information
Practice address
304 S LEWIS ST, LAGRANGE, GA 30240-3144
(706) 845-0544
(706) 812-8791
Mailing address
304 S LEWIS ST, LAGRANGE, GA 30240-3144
(706) 845-0544
(706) 812-8791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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