Individual
DR. BRADFORD WILLIAMS JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
509 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 946-7725
(252) 975-0272
Mailing address
509 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 946-7725
(252) 975-0272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7992
NC
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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