Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT CHARLES JACKSON II, DDS
ActiveDR. ROBERT CHARLES JACKSON II, DDS is a Dentist healthcare provider located in EARLVILLE, New York. NPI 1598989030 is currently active in the NPPES registry. Verify at CMS.
Dentist · EARLVILLE, NY
Registration Details
- NPI Number
- 1598989030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.355210634663 yrs)
- Last Updated
- Jul 8, 2007
- License
-
038574 (NY)
Practice Information
- Address
-
59 N MAIN STEARLVILLE, NY, 13332Browse NY providers · Browse ZIP 13332
- Phone
- 3156916502
- Fax
- 3156913119
- 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.