Individual
WILLIAM THOMAS JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7319 NASHVILLE ST, RINGGOLD, GA 30736-2425
(706) 935-2206
Mailing address
196 MUSTANG ST, ROSSVILLE, GA 30741-6126
(423) 664-3777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123465
GA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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