KENNETH J. JACKSON D.D.S. INC. NPI 1902070998

NPI Information

KENNETH J. JACKSON D.D.S., INC. is a general practice dentist in Wapakoneta, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KENNETH J. JACKSON D.D.S., INC. NPI is 1902070998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

809 REDSKIN TRL
WAPAKONETA, OH
ZIP 45895-546
Phone: (419) 738-2426

The provider's authorized official is Kenneth J Jackson .
The authorized official title is President and has the following contact phone number (419) 738-2426.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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