Jackson, Terence Stewart

Jackson, Terence Stewart is an individual health care provider with primary practice located at 47 Oak St 2Nd Floor, Stamford CT 06905. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Jackson, Terence Stewart can be contacted via phone (203) 252-2252.

Contact Information

Primary practice address
47 Oak St 2Nd Floor Stamford CT 06905
Phone: (203) 252-2252
Fax: (203) 504-6270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 009411 Connecticut
Dental Providers / Periodontics 1223P0300X 20271 Massachusetts
Dental Providers / Periodontics 1223P0300X 0518851 New York

Profile Details

NPI number 1306940994
LBN Legal business name Jackson, Terence Stewart
Credentials DMD MA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
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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