Individual provider · Type 1 NPI

Michael Roy Jackson, DDS

General Practice Dentistry · Fort Worth, TX

NPI number 1083735369 Active

About NPI 1083735369

Michael Roy Jackson, DDS's National Provider Identifier is 1083735369, issued on Apr 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 8, 2007.