Individual
DR. DOUGLAS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
714 E. 4TH AVE, RED SPRINGS, NC 28377
(910) 843-3353
(910) 843-7240
Mailing address
714 E. 4TH AVE, P.O. BOX 791, RED SPRINGS, NC 28377
(910) 843-3353
(910) 843-7240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3798
NC
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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