Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW LEE JACKSON, DMD
ActiveDR. ANDREW LEE JACKSON, DMD is a General Dentistry healthcare provider located in WILLACOOCHIE, Georgia. NPI 1568591287 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WILLACOOCHIE, GA
Registration Details
- NPI Number
- 1568591287
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.455966112694 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9939 (GA)
Practice Information
- Address
-
600 MCCRANIE AVENUEWILLACOOCHIE, GA, 31650Browse GA providers · Browse ZIP 31650
- Phone
- 9125345164
- Fax
- 9125345263
- Primary Specialty
-
General Dentistry
1223G0001X
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.