Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEROY R JACKSON JR DDS PLLC
Active OrganizationDental Clinic · RANSON, WV
Registration Details
- NPI Number
- 1497010136
- Provider Type
- Organization
- NPI Issued
- Jul 9, 2012 (13.803248360854 yrs)
- Last Updated
- Jul 9, 2012
Practice Information
- Address
-
215 E 5TH AVERANSON, WV, 254381613Browse WV providers · Browse ZIP 25438
- Phone
- 3047258660
- Fax
- 3047287519
- Primary Specialty
-
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.