Search › New York › 122300000X
Ophelia Jackson, DDS
NPI 1841396108 · on the registry since 2006
Practice
- Address
- 429 W 24th St
New York, NY 10011 - Phone
- (516) 459-4739
- Fax
- (212) 206-0298
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-13
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 New York