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

DR. PHYLLIS RENEE JACKSON-WILLIAMS, DDS

Active Sole Proprietor

DR. PHYLLIS RENEE JACKSON-WILLIAMS, DDS is a General Dentistry healthcare provider located in RIVER RIDGE, Louisiana. NPI 1912050832 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · RIVER RIDGE, LA

Registration Details

NPI Number
1912050832
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2007 (19.579460243983 yrs)
Last Updated
Mar 23, 2012
License
5004 (LA)
Sole Proprietor
Yes

Practice Information

Address
11312 JEFFERSON HWY
RIVER RIDGE, LA, 701231709
Browse LA providers · Browse ZIP 70123
Phone
5044635999
Fax
5044635990
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in RIVER RIDGE, LA

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.