Keven Jackson, DDS PC
NPI 1932294006 · on the registry since 2006
Practice
- Address
- 22516 Linden Blvd
Cambria Heights, NY 11411 - Phone
- (718) 978-0226
- Fax
- (718) 977-0281
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- NY
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 New York