Dr. John Andrew Jackson, D.D.S.
Dentist, Oral and Maxillofacial Surgery in San Antonio, TX. Individual provider (NPI-1).
NPI number1720162779
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1720162779
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Andrew Jackson
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | D14522 | TX | Yes |
Practice location
600 Division AveSuite E.
San Antonio, TX 78214-1350
Phone 210-924-4279 · Fax 210-924-4270
Mailing address
600 Division AveSuite E.
San Antonio, TX 78214-1350
Phone 210-924-4279 · Fax 210-924-4270
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All 78 Oral and Maxillofacial Surgery (Dentist) providers in San Antonio · All 48,677 providers in San Antonio
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