| Jackson Family Dentistry | |
|
202 Reserve Muncie IN 47303 | |
| (765) 284-7242 | |
| (765) 289-8331 |
| Full Name | Jackson Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 202 Reserve, Muncie, Indiana |
| Authorized Official Name and Position | Carl Jackson (OWNER) |
| Authorized Official Contact | 7652847242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Dentistry 202 Reserve Muncie IN 47303 Ph: (765) 284-7242 | Jackson Family Dentistry 202 Reserve Muncie IN 47303 Ph: (765) 284-7242 |
| NPI Number | 1326250325 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326250325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010844A (Indiana) | Primary |
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