Individual
JACKSON LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 US HWY 425 S, MONTICELLO, AR 71655
(870) 412-1388
Mailing address
201 INDEPENDENCE DRIVE, COLUMBUS AFB, MS 39710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4607
AR
1223G0001X
General Practice Dentistry
4607
AR
Other
Enumeration date
04/05/2022
Last updated
07/03/2025
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