Individual
JACKSON MICHAEL GUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
742 N DEAN RD, AUBURN, AL 36830-4300
(334) 521-2233
Mailing address
1112 E COLLINWOOD CIR, OPELIKA, AL 36801-2700
(334) 275-5068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0007027C1
AL
Other
Enumeration date
06/06/2022
Last updated
06/09/2022
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