Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT W JACKSON, DDS
Active Sole ProprietorDR. ROBERT W JACKSON, DDS is a Oral & Maxillofacial Surgery healthcare provider located in THOMASVILLE, Georgia. NPI 1144389347 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · THOMASVILLE, GA
Registration Details
- NPI Number
- 1144389347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2006 (19.734066640066 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN007586 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
209 MIMOSA DRTHOMASVILLE, GA, 317926633Browse GA providers · Browse ZIP 31792
- Phone
- 2292261919
- Fax
- 2292267709
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.