| K Jackson DMD PC | |
|
204 Smith St Lagrange GA 30240-2744 | |
| (706) 884-4254 | |
| Not Available |
| Full Name | K Jackson DMD PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 Smith St, Lagrange, Georgia |
| Authorized Official Name and Position | Karen a Jackson (DENTIST OWNER) |
| Authorized Official Contact | 7068844254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Jackson DMD PC 204 Smith St Lagrange GA 30240-2744 Ph: (706) 884-4254 | K Jackson DMD PC 204 Smith St Lagrange GA 30240-2744 Ph: (706) 884-4254 |
| NPI Number | 1952447153 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952447153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011604 (Georgia) | Primary |
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