Individual provider · Type 1 NPI

John M. Jackson Jr., DMD

General Practice Dentistry · Lagrange, GA

NPI number 1982717575 Active

About NPI 1982717575

John M. Jackson Jr., DMD's National Provider Identifier is 1982717575, issued on Aug 16, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lagrange, GA. The record was last updated on Jul 8, 2007.