Individual
DR. STEPHEN MICHAEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
350 E 600 S STE 1, ST GEORGE, UT 84770
(435) 656-3868
Mailing address
8380 N SILVERBELL RD, TUCSON, AZ 85743-7300
(520) 505-4428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010495
AZ
Other
Enumeration date
07/20/2012
Last updated
02/07/2023
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