Search › Georgia › 1223G0001X
Samuel Jackson, DMD
NPI 1306681069 · on the registry since 2024
Practice
- Address
- 2719 Limestone Pkwy
Gainesville, GA 30501 - Phone
- (770) 532-7400
- Organisation at this address
- Joseph L Jackson Dmd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-26
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