Individual provider · Type 1 NPI
Michael D. Jackson, D.D.S
General Practice Dentistry · Lawton, OK
NPI number
1801898648
Active
Practice location
309 N. Sheridan Rd
Lawton, OK 73505
Fax (580) 357-1963
Mailing address
910 NW Micklegate Blvd
Lawton, OK 73505-4134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | OK4831 (OK) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1801898648
Michael D. Jackson, D.D.S's National Provider Identifier is 1801898648, issued on Aug 11, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lawton, OK. The record was last updated on Jul 8, 2007.