Jackson, Michael Roy
Jackson, Michael Roy is an sole proprietor health care provider with primary practice located at 6924 South Fwy , Ft Worth TX 76134-3800. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, Michael Roy can be contacted via phone (817) 293-7431.Contact Information
Primary practice address
6924 South Fwy
Ft Worth TX 76134-3800
Phone: (817) 293-7431
Fax: (817) 293-3848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11498 | Texas |
Profile Details
| NPI number | 1083735369 |
|---|---|
| LBN Legal business name | Jackson, Michael Roy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 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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