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John Jackson
NPI 1245382217 · on the registry since 2007
Practice
- Address
- 503 Jackson St
Belle Fourche, SD 57717 - Phone
- (605) 892-6347
- Fax
- (605) 892-6564
- Organisation at this address
- Jackson Dental Prof. Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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 South Dakota