NPI 1295029767
Maggie Jackson, RDHBSDHMASTEROF
Practice location
- Address
- 4000 Coast Guard Blvd., Portsmouth, VA 23703
- Phone
- (757) 483-8596
- Fax
- (757) 483-8610
- Mailing address
- 14 Towne Square Drive, Newport News, VA 23607
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1295029767
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jun 2011
- Record last updated
- 2 Jun 2011
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.