Organization
MEGAN JACKSON, DMD, PLLC
Active
Other names
Star Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN GRACE JACKSON DMD (OWNER/PRESIDENT)
(859) 559-5466
Entity
Organization
Contact information
Practice address
3195 BEAUMONT CENTRE CIR STE 120, LEXINGTON, KY 40513-2009
(859) 559-5466
Mailing address
3161 HEMINGWAY LN, LEXINGTON, KY 40513-1859
(859) 559-5466
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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