Organization
K JACKSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN A JACKSON DMD (DENTIST OWNER)
(706) 884-4254
Entity
Organization
Contact information
Practice address
204 SMITH ST, LAGRANGE, GA 30240-2744
(706) 884-4254
Mailing address
204 SMITH ST, LAGRANGE, GA 30240-2744
(706) 884-4254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011604
GA
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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