Organization
SMITH & JACKSON FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA R JACKSON DMD (DENTIST/OWNER)
(541) 342-2477
Entity
Organization
Contact information
Practice address
911 COUNTRY CLUB RD STE 222, EUGENE, OR 97401
(541) 342-2477
(541) 342-2504
Mailing address
911 COUNTRY CLUB RD STE 222, EUGENE, OR 97401
(541) 342-2477
(541) 342-2504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4876
OR
Other
Enumeration date
05/02/2007
Last updated
10/02/2020
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