Individual
DR. ANTHONY D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
512 E ALEXANDER ST, PLANT CITY, FL 33563-7165
(813) 752-3030
(813) 752-0132
Mailing address
512 E ALEXANDER ST, PLANT CITY, FL 33563-7165
(813) 752-3030
(813) 752-0132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13679
FL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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