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Michael Jackson, DDS
NPI 1083735369 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6924 South Fwy
Ft Worth, TX 76134 - Phone
- (817) 293-7431
- Fax
- (817) 293-3848
- Organisation at this address
- Michael R. Jackson D.D.S., Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas