Individual
CLAYTON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14431 SOMMERVILLE CT STE A, MIDLOTHIAN, VA 23113-6812
(804) 265-4784
Mailing address
14431 SOMMERVILLE CT STE A, MIDLOTHIAN, VA 23113-6812
(804) 265-4784
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419354
VA
Other
Enumeration date
01/31/2024
Last updated
01/05/2026
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