Individual provider · Type 1 NPI

Brandon Joshua Jackson, D.D.S

Pediatric Dentistry · Staten Island, NY

NPI number 1861753949 Active

About NPI 1861753949

Brandon Joshua Jackson, D.D.S's National Provider Identifier is 1861753949, issued on Jun 5, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Staten Island, NY. The record was last updated on Sep 15, 2015.