Individual
DR. JACKSON J WHITCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7070 STADIUM DR, KALAMAZOO, MI 49009-6272
(269) 375-2856
Mailing address
7070 STADIUM DR, KALAMAZOO, MI 49009-6272
(269) 375-2856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901023177
MI
Other
Enumeration date
07/16/2019
Last updated
04/10/2024
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