Individual
DR. KYLE SPENCER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,DHSC
Contact information
Practice address
301 SADDLE DR, SUITE A, HELENA, MT 59601-8098
(406) 442-1899
Mailing address
301 SADDLE DR, SUITE A, HELENA, MT 59601-8098
(406) 442-1899
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2374
MT
Other
Enumeration date
10/29/2009
Last updated
04/25/2022
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