| John P. Jackson D.d.s., P.c. | |
|
109 S Franklin St Farmington MO 63640-2516 | |
| (573) 756-6415 | |
| (573) 756-6416 |
| Full Name | John P. Jackson D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 109 S Franklin St, Farmington, Missouri |
| Authorized Official Name and Position | John P Jackson (PRESIDENT) |
| Authorized Official Contact | 5737566415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P. Jackson D.d.s., P.c. 109 S Franklin St Farmington MO 63640-2516 Ph: (573) 756-6415 | John P. Jackson D.d.s., P.c. 109 S Franklin St Farmington MO 63640-2516 Ph: (573) 756-6415 |
| NPI Number | 1447460357 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447460357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11953 (Missouri) | Primary |
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