Individual
MORGAN WOOD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
614 E MAIN ST, STANFORD, KY 40484-1403
(606) 365-8994
Mailing address
1542 E HARRISON AVE, SALT LAKE CITY, UT 84105-2710
(541) 760-7917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10973
KY
Other
Enumeration date
05/18/2023
Last updated
06/02/2023
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