Jackson, Douglas
Jackson, Douglas is an sole proprietor health care provider with primary practice located at 714 E. 4Th Ave , Red Springs NC 28377. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jackson, Douglas can be contacted via phone (910) 843-3353.Contact Information
Primary practice address
714 E. 4Th Ave
Red Springs NC 28377
Phone: (910) 843-3353
Fax: (910) 843-7240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3798 | North Carolina |
Profile Details
| NPI number | 1457401762 |
|---|---|
| LBN Legal business name | Jackson, Douglas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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