Individual provider · Type 1 NPI
Robert W. Jackson, DDS
Oral and Maxillofacial Surgery (Dentist) · Thomasville, GA
Practice location
209 Mimosa Dr
Thomasville, GA 31792-6633
Fax (229) 226-7709
Mailing address
PO Box 1696
Thomasville, GA 31799-1696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN007586 (GA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1144389347
Robert W. Jackson, DDS's National Provider Identifier is 1144389347, issued on Dec 6, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Thomasville, GA. The record was last updated on Jul 8, 2007.