Organization
JACKSON AND JACKSON DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD W JACKSON DDS (DENTIST)
(252) 946-7725
Entity
Organization
Contact information
Practice address
509 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 946-7725
Mailing address
509 W 15TH ST, WASHINGTON, NC 27889-3565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
08/22/2020
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