| Mersedes S Jackson, DDS | |
|
Kenner Army Health Clinic, 700 24th Street, Fort Gregg-adams, VA 23801 | |
| (804) 734-5365 | |
| Not Available |
| Full Name | Mersedes S Jackson |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | Kenner Army Health Clinic, Fort Gregg-adams, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639664527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401416895 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mersedes S Jackson, DDS Kenner Army Health Center, 700 24th Street, Fort Gregg-adams, VA 23801 Ph: (804) 734-5365 | Mersedes S Jackson, DDS Kenner Army Health Clinic, 700 24th Street, Fort Gregg-adams, VA 23801 Ph: (804) 734-5365 |
Dr. Kristianne Norma Sinclair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2601 Clarke Avenue, Building 8204, Fort Gregg-adams, VA 23801 Phone: 804-734-9607 | |
Dr. Paul J Park, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2601 Clarke Ave, Fort Gregg-adams, VA 23801 Phone: 804-734-9747 |