Individual
MR. JAMES ANDREW JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
228 MAIN ST., NETTLETON, MS 38858
(662) 963-7338
(668) 963-7339
Mailing address
228 MAIN ST., PO BOX 338, NETTLETON, MS 38858
(662) 963-7338
(668) 963-7339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3416-07
MS
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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