Individual provider · Type 1 NPI

Jessica Yvette Hackman, MD, DMD

Oral and Maxillofacial Surgery (Dentist) · San Diego, CA

NPI number 1619053170 Active

Practice location

9921 Carmel Mountain Rd, #186
San Diego, CA 92129-2813

Call (310) 709-2418 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XOMS58 (CA)

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 1619053170

Jessica Yvette Hackman, MD, DMD's National Provider Identifier is 1619053170, issued on Oct 27, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Diego, CA. The record was last updated on Jan 17, 2012.