Individual
DR. JO ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3918 MONTCLAIR RD, SUITE 206, BIRMINGHAM, AL 35213-2418
(205) 879-6150
(205) 879-6150
Mailing address
3918 MONTCLAIR RD, SUITE 206, BIRMINGHAM, AL 35213-2418
(205) 879-6150
(205) 879-6150
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2563
AL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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