| Marlon B. Jackson Dds,pc | |
|
210 Auburn Ave Ne Suite 1 Atlanta GA 30303-2610 | |
| (404) 681-3834 | |
| (404) 681-9108 |
| Full Name | Marlon B. Jackson Dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 Auburn Ave Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Marlon Bradford Jackson (OWNER) |
| Authorized Official Contact | 4046813834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlon B. Jackson Dds,pc 210 Auburn Ave Ne Suite 1 Atlanta GA 30303-2610 Ph: (404) 681-3834 | Marlon B. Jackson Dds,pc 210 Auburn Ave Ne Suite 1 Atlanta GA 30303-2610 Ph: (404) 681-3834 |
| NPI Number | 1598914343 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598914343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9878 (Georgia) | Primary |
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