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Dennis Jackson, D.D.S

NPI 1881999761 · on the registry since 2011 · sole proprietor

Practice

Address
164 Square H Rd
Edgewood, NM 87015
Phone
(505) 610-7885

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-24

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 New Mexico