Annabelle M Jackson
Dental Assistant in Fort Benning, GA. Individual provider (NPI-1).
NPI number1700550811
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1700550811
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Annabelle M Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2021
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | – | – | Yes |
Practice location
7101 Hoff St # 9240Fort Benning, GA 31905-5645
Phone 706-544-2052
Mailing address
1186 Ossahatchie Creek RdEllerslie, GA 31807-5332
Phone 706-617-7913
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All 8 Dental Assistant providers in Fort Benning · All 547 providers in Fort Benning
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