Sean Jackson, RDH
Dental Hygienist in Detroit, MI. Individual provider (NPI-1).
NPI number1114368917
StatusActive
Last updated in NPPESJul 10, 2013
Details
- NPI
- 1114368917
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sean Jackson
- Credential
- RDH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2013
- Last updated
- Jul 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 2902014962 | MI | Yes |
Practice location
111 W 7 Mile RdDetroit, MI 48203-1968
Phone 313-369-2600 · Fax 313-369-2477
Mailing address
111 W 7 Mile RdDetroit, MI 48203-1968
Phone 313-369-2600 · Fax 313-369-2477
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All 75 Dental Hygienist providers in Detroit · All 25,238 providers in Detroit
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