| Brian E Jackson Dds Llc | |
|
2775 Bishop Rd Suite C Willoughby Hills OH 44092-2683 | |
| (440) 944-7775 | |
| Not Available |
| Full Name | Brian E Jackson Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 2775 Bishop Rd, Willoughby Hills, Ohio |
| Authorized Official Name and Position | Brian E Jackson (OWNER) |
| Authorized Official Contact | 4409447775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian E Jackson Dds Llc 2775 Bishop Rd Suite C Willoughby Hills OH 44092-2683 Ph: (440) 944-7775 | Brian E Jackson Dds Llc 2775 Bishop Rd Suite C Willoughby Hills OH 44092-2683 Ph: (440) 944-7775 |
| NPI Number | 1801349154 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801349154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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