Individual
DR. NEALL CLARK JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 EAST ELDRIDGE AVENUE, WYNNE, AR 72396-0368
(870) 238-3628
(870) 238-0757
Mailing address
715 EAST ELDRIDGE AVENUE, P.O. BOX 368, WYNNE, AR 72396-0368
(870) 238-3628
(870) 238-0757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3520
AR
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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