Individual
JACKSON MATTHEW MADIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
616 CAMPUS DR STE 100, ABINGDON, VA 24210-9706
(276) 525-4487
Mailing address
2256 SCENIC RIDGE CIR, BLACKSBURG, VA 24060-1145
(540) 250-3420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418914
VA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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