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Search › Georgia › 122300000X

Nicole Jackson, DDS

NPI 1205999588 · on the registry since 2006

Practice

Address
3298 Northside Dr
Macon, GA 31210
Phone
(478) 475-1976
Fax
(478) 475-1946
Organisation at this address
Ga Southern Dental Llc
Northside Family Dentistry
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia