Individual
JAMES D. JACKSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 S FRONT ST, SUITE 201, MARQUETTE, MI 49855-4641
(906) 228-9070
(906) 228-9420
Mailing address
101 S FRONT ST, SUITE 201, MARQUETTE, MI 49855-4641
(906) 228-9070
(906) 228-9420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2662758
—
MI
Enumeration date
01/24/2007
Last updated
07/08/2007
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