Individual
DR. BRENT A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1910 STATE HIGHWAY 43 E, HENDERSON, TX 75652-9106
(903) 657-3139
Mailing address
1910 STATE HIGHWAY 43 E, HENDERSON, TX 75652-9106
(903) 657-3139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24633
TX
Other
Enumeration date
06/08/2009
Last updated
06/13/2013
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