Organization
DR. DANIEL DEWEY JACKSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE GLENN (FRONT OFFICE COORDINATOR)
(541) 482-1744
Entity
Organization
Contact information
Practice address
277 5TH ST, ASHLAND, OR 97520-2058
(541) 482-1744
(541) 482-4128
Mailing address
277 5TH ST, ASHLAND, OR 97520-2058
(541) 482-1744
(541) 482-4128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4836
OR
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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