Individual
DR. DONALD MURPHY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.A.
Contact information
Practice address
712 S MAIN ST, NORTH EAST, MD 21901-4126
(410) 287-8644
(410) 287-1542
Mailing address
712 S MAIN ST, NORTH EAST, MD 21901-4126
(410) 287-8644
(410) 287-1542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5209
MD
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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