Jackson, Charles Forrest

Jackson, Charles Forrest is an individual health care provider with primary practice located at 702 W 34Th St , Erie PA 16508. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jackson, Charles Forrest can be contacted via phone (814) 868-5411.

Contact Information

Primary practice address

702 W 34Th St Erie PA 16508

Phone: (814) 868-5411

Fax: (814) 866-2105

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Dentist	122300000X	DS019797L	Pennsylvania

Profile Details

NPI number	1770545063
LBN Legal business name	Jackson, Charles Forrest
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Apr 4th, 2006
Last updated	Jul 8th, 2007 - about 18 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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