| Michael R. Jackson D.d.s., Inc. | |
|
6924 South Fwy Ft Worth TX 76134-3800 | |
| (817) 293-7431 | |
| (817) 293-3848 |
| Full Name | Michael R. Jackson D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6924 South Fwy, Ft Worth, Texas |
| Authorized Official Name and Position | Michael Roy Jackson (PRESIDENT OWNER) |
| Authorized Official Contact | 8172937431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Jackson D.d.s., Inc. 6924 South Fwy Ft Worth TX 76134-3800 Ph: (817) 293-7431 | Michael R. Jackson D.d.s., Inc. 6924 South Fwy Ft Worth TX 76134-3800 Ph: (817) 293-7431 |
| NPI Number | 1437270758 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437270758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11498 (Texas) | Primary |
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