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Michael Jackson, D.D.S
NPI 1801898648 · on the registry since 2005 · sole proprietor
Practice
- Address
- 309 N. Sheridan Rd
Lawton, OK 73505 - Phone
- (580) 357-7878
- Fax
- (580) 357-1963
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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 Oklahoma