Individual provider · Type 1 NPI

Louis Jackson Iii

Pediatric Dentistry · Albuquerque, NM

NPI number 1285040337 Active

Practice location

8201 Golf Course Rd NW
Albuquerque, NM 87120-5842

Mailing address

888 Brighton Ave
Portland, ME 04102-1004

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDEN4862 (ME)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1285040337

Louis Jackson Iii's National Provider Identifier is 1285040337, issued on Jul 9, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 15, 2024.