Individual
DR. THOMAS W JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DS026194L
Contact information
Practice address
8160 PERRY HWY, PITTSBURGH, PA 15237-5214
(412) 367-2250
Mailing address
2250 MARY ST, 308, PITTSBURGH, PA 15203-2280
(412) 367-2250
(412) 367-0930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026194L
PA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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