NPI 1003862913

Richard L. Jackson, D.D.S., INC.

Organisation Dentist Cincinnati, OH

Practice location

Address: 3650 Erie Ave, Cincinnati, OH 45208-1928
Phone: (513) 321-3037
Fax: (513) 321-2071

Authorised official

Name: Richard L. Jackson
Title: Owner / President
Phone: (513) 321-3037

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 17359 (OH)

Other Dentist providers in Ohio →

Registry record

NPI: 1003862913
Entity type: Organization
NPI issued: 25 May 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.