Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRY L JACKSON, DDS
ActiveMR. TERRY L JACKSON, DDS is a Dentist healthcare provider located in WATERTOWN, Tennessee. NPI 1588736771 is currently active in the NPPES registry. Verify at CMS.
Dentist · WATERTOWN, TN
Registration Details
- NPI Number
- 1588736771
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2006 (19.74955799244 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4316 (TN)
Practice Information
- Address
-
121 WEST MAIN STREETWATERTOWN, TN, 37184Browse TN providers · Browse ZIP 37184
- Phone
- 6152373631
- Fax
- 6152379906
- Primary Specialty
-
Dentist
122300000X
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.