Individual
DR. JOSEPH LOY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2719 LIMESTONE PKWY, GAINESVILLE, GA 30501-1472
(770) 532-7400
(770) 532-1140
Mailing address
2719 LIMESTONE PKWY, GAINESVILLE, GA 30501-1472
(770) 532-7400
(770) 532-1140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11005
GA
1223G0001X
General Practice Dentistry
Primary
11005
GA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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