Individual
DR. JAMES FRED JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1193 PINEVIEW DR, MORGANTOWN, WV 26505-2700
(304) 599-1602
(304) 225-6604
Mailing address
1193 PINEVIEW DR, MORGANTOWN, WV 26505-2700
(304) 599-1602
(304) 225-6604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2581
WV
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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