Search › Maryland › 1223P0700X
Andrea Jackson, DDS, MS
NPI 1578707204 · on the registry since 2009 · sole proprietor
Practice
- Address
- 6912 Wade Ave
Clinton, MD 20735 - Phone
- (301) 868-3317
Registry record
- Primary taxonomy
- 1223P0700X
1223P0700X
- Also registered as
- 1223P0700X
- Licence states on file
- DC, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-04-24
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 Maryland