Individual
DR. THOMAS M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
2737 PAULA DR, JONESBORO, AR 72404-8017
(901) 932-0015
Mailing address
PO BOX 327, WALNUT RIDGE, AR 72476-0327
(870) 886-7992
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
39
AR
Other
Enumeration date
05/11/2017
Last updated
07/27/2020
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