Search › Florida › 1223G0001X
Matthew Jackson, D.D.S
NPI 1649499948 · on the registry since 2007
Practice
- Address
- 1141 S Eustis St
Eustis, FL 32726 - Phone
- (352) 589-2099
- Organisation at this address
- Charles E Broadway, Dmd, Pa
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
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-10
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 Florida