Individual
ALYSON MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5611 NW 1ST ST STE 108, LINCOLN, NE 68521-4466
(402) 438-5588
Mailing address
2801 N 74TH ST, LINCOLN, NE 68507-2910
(402) 314-9209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8206
NE
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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