Individual
DR. HARRY J. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD, HONOLULU, HI 96859
(808) 433-2444
Mailing address
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD, HONOLULU, HI 96859
(808) 433-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21804
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2962
HI
Other
Enumeration date
04/04/2006
Last updated
12/22/2023
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