Organization · Type 2 NPI

K Jackson DMD PC

General Practice Dentistry · Lagrange, GA

NPI number 1952447153 Active

About NPI 1952447153

K Jackson DMD PC's National Provider Identifier is 1952447153, issued on Jan 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lagrange, GA. The record was last updated on Aug 22, 2020.