Individual
DR. JAMAR MAURICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
80 GROVE ST, RIDGEFIELD, CT 06877-4104
(203) 438-7280
Mailing address
77 HARRISONS TRL, HOPEWELL JCT, NY 12533-3223
(347) 249-7736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10775
CT
Other
Enumeration date
10/22/2012
Last updated
01/02/2013
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