| Joseph L Jackson Dmd | |
|
2719 Limestone Parkway Gainesville GA 30501 | |
| (770) 532-7400 | |
| (770) 532-1140 |
| Full Name | Joseph L Jackson Dmd |
|---|---|
| Speciality | Dentist |
| Location | 2719 Limestone Parkway, Gainesville, Georgia |
| Authorized Official Name and Position | Joseph Loy Jackson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7705327400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph L Jackson Dmd 2719 Limestone Parkway Gainesville GA 30501 Ph: (770) 532-7400 | Joseph L Jackson Dmd 2719 Limestone Parkway Gainesville GA 30501 Ph: (770) 532-7400 |
| NPI Number | 1467591735 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467591735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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