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William Jackson, DDS
NPI 1497915086 · on the registry since 2008 · sole proprietor
Practice
- Address
- 402 E Walnut St
Nevada, MO 64772 - Phone
- (417) 667-3006
- Organisation at this address
- Nevada Family Dentistry Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-17
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 Missouri