Individual
DR. DAVID A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1000 N MAIN ST STE 5, LANSING, KS 66043-1315
(913) 727-5522
Mailing address
2548 CHERRY ST, KANSAS CITY, MO 64108-2751
(816) 535-8778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2011014452
MO
1223G0001X
General Practice Dentistry
Primary
60828
KS
Other
Enumeration date
05/30/2013
Last updated
09/09/2019
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