NPI 1407120504
Jackson Dental
Practice location
- Address
- 456 S Main St, Lapeer, MI 48446-2427
- Phone
- (810) 667-3535
- Fax
- (810) 245-5723
Authorised official
- Name
- Thomas Dirk Jackson
- Title
- Owner
- Phone
- (810) 667-3535
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1407120504
- Entity type
- Organization
- NPI issued
- 7 Mar 2012
- Record last updated
- 4 May 2017
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.