Jackson, James Brian

Jackson, James Brian is an individual health care provider with primary practice located at 811 S 28Th Ave , Hattiesburg MS 39402-2602. He recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Jackson, James Brian can be contacted via phone (601) 261-2611.

Contact Information

Primary practice address
811 S 28Th Ave Hattiesburg MS 39402-2602
Phone: (601) 261-2611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3742-14 Mississippi
Dental Providers / General Practice 1223G0001X 3742-14 Mississippi
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3742-14 Mississippi

Profile Details

NPI number 1841601556
LBN Legal business name Jackson, James Brian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2014
Last updated Feb 23rd, 2021 - about 3 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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