Individual provider · Type 1 NPI
William Kenneth Jackson, DDS
Oral and Maxillofacial Surgery (Dentist) · Dallas, TX
NPI number
1417006594
Active
Practice location
11411 N Central Expy Ste K
Dallas, TX 75243-6606
Fax (214) 739-5073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9441 (TX) |
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.
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About NPI 1417006594
William Kenneth Jackson, DDS's National Provider Identifier is 1417006594, issued on Jan 9, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dallas, TX. The record was last updated on Jul 28, 2007.