Individual
DR. ROBERT ANTHONY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2816 VEACH RD., UNIT 305, OWENSBORO, KY 42303
(270) 386-5344
(270) 683-3519
Mailing address
2816 VEACH RD., UNIT 305, OWENSBORO, KY 42303
(270) 683-5344
(270) 683-3519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8609
KY
Other
Enumeration date
07/10/2008
Last updated
10/04/2011
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