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Search › Georgia › General Practice Dentistry

Montina Jackson, DMD

NPI 1497875504 · on the registry since 2007 · sole proprietor

Practice

Address
2197 Martin Luther King Jr Dr Sw
Atlanta, GA 30310
Phone
(404) 699-1919
Fax
(404) 699-1402

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
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