Individual provider · Type 1 NPI

Richard Edwin Jackson, DMD

General Practice Dentistry · Lexington, SC

NPI number 1801810163 Active

About NPI 1801810163

Richard Edwin Jackson, DMD's National Provider Identifier is 1801810163, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lexington, SC. The record was last updated on Jul 8, 2007.