Jackson, Zachary Jacob

Jackson, Zachary Jacob is an individual health care provider with primary practice located at Joel Dental Clinic Bldg M4861 Logistics Ave , Fort Liberty NC 28310-7500. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Jackson, Zachary Jacob can be contacted via phone (910) 907-9060.

Contact Information

Primary practice address
Joel Dental Clinic Bldg M4861 Logistics Ave Fort Liberty NC 28310-7500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 192325 Alaska
Dental Providers / Dentist 122300000X D11316 Oregon

Profile Details

NPI number 1548874274
LBN Legal business name Jackson, Zachary Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2020
Last updated Dec 14th, 2023 - about 2 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.

Request for update

Popular Providers