Organization
AMASON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON L AMASON DMD (DOCTOR/OWNER)
(770) 424-1705
Entity
Organization
Contact information
Practice address
2430 POWELL PL NW, KENNESAW, GA 30144-3567
(770) 424-1705
(770) 429-1610
Mailing address
2430 POWELL PL NW, KENNESAW, GA 30144-3567
(770) 424-1705
(770) 429-1610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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