Jackson, Thomas M

Jackson, Thomas M is an sole proprietor health care provider with primary practice located at 2737 Paula Dr , Jonesboro AR 72404-8017. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Jackson, Thomas M can be contacted via phone (901) 932-0015.

Contact Information

Primary practice address
2737 Paula Dr Jonesboro AR 72404-8017
Phone: (901) 932-0015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 39 Arkansas

Profile Details

NPI number 1619403615
LBN Legal business name Jackson, Thomas M
Credentials DMD, MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated Jul 27th, 2020 - about 4 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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