Organization
JACKSON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DIRK JACKSON DDS (OWNER)
(810) 667-3535
Entity
Organization
Contact information
Practice address
456 S MAIN ST, LAPEER, MI 48446-2427
(810) 667-3535
(810) 245-5723
Mailing address
456 S MAIN ST, LAPEER, MI 48446-2427
(810) 667-3535
(810) 245-5723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
05/04/2017
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