Individual provider · Type 1 NPI

John Andrew Jackson, DDS

Oral and Maxillofacial Surgery (Dentist) · San Antonio, TX

NPI number 1720162779 Active

Practice location

600 Division Ave, Suite E.
San Antonio, TX 78214-1350

Fax (210) 924-4270

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	D14522 (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 1720162779

John Andrew Jackson, DDS's National Provider Identifier is 1720162779, issued on Oct 25, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Antonio, TX. The record was last updated on Jul 9, 2007.