Jackson, Jonathan Michael

Jackson, Jonathan Michael is an individual health care provider with primary practice located at 755 Mount Vernon Hwy Ne Suite 100, Atlanta GA 30328-4274. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Jackson, Jonathan Michael can be contacted via phone (404) 255-8443.

Contact Information

Primary practice address
755 Mount Vernon Hwy Ne Suite 100 Atlanta GA 30328-4274
Phone: (404) 255-8443
Fax: (404) 255-1326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN011776 Georgia

Profile Details

NPI number 1588718894
LBN Legal business name Jackson, Jonathan Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 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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