Individual
DR. ADOLPHUS MYRON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
859 LOMB AVE SW, BIRMINGHAM, AL 35211-1257
(205) 788-2124
(205) 788-2126
Mailing address
859 LOMB AVE SW, BIRMINGHAM, AL 35211-1257
(205) 788-2124
(205) 788-2126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3679
AL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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