John Jackson, DMD

NPI 1992225270 · on the registry since 2017 · sole proprietor

Practice

Address: 304 S Lewis St
Lagrange, GA 30240
Phone: (706) 845-0544
Organisation at this address: Jackson & Jackson Dental, Llp
John M. Jackson, Jr., D.M.D., P.C.
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: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

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 Georgia