DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LLOYD BRENT JACKSON, DMD

Active Sole Proprietor

LLOYD BRENT JACKSON, DMD is a Dentist healthcare provider located in FARMINGTON, New Mexico. NPI 1487785911 is currently active in the NPPES registry. Verify at CMS.

Dentist · FARMINGTON, NM

Registration Details

NPI Number
1487785911
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2007 (19.42820148922 yrs)
Last Updated
Jul 8, 2007
License
DD2248 (NM)
Sole Proprietor
Yes

Practice Information

Address
2700 FARMINGTON AVE
C -1
FARMINGTON, NM, 874014559
Browse NM providers · Browse ZIP 87401
Phone
5053270044
Fax
5053250817
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FARMINGTON, NM

Name Credential NPI
STEPHEN B CLARK DDS,MS 1487644183
DR. DEWEY I GETZ DDS MSD PC 1871574236
ERIC GORDON BRUCE DDS 1992765671
DR. DANIEL J FARLEY D.D.S. 1205858693
DR. JAMES R. COLE D.D.S. 1548376270
DR. DARYL LEROY SPECHT DDS 1982707519
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.