J. ANDREW JACKSON D.D.S. LTD. LLP NPI 1962734160

NPI Information

J. ANDREW JACKSON, D.D.S. LTD., LLP is an oral and maxillofacial surgery dentist in San Antonio, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. J. ANDREW JACKSON, D.D.S. LTD., LLP NPI is 1962734160. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 DIVISION, SUITE E.
SAN ANTONIO, TX
ZIP 78214
Phone: (210) 924-4279
Fax: (210) 924-4270

The provider's authorized official is Misty Adamitz .
The authorized official title is Office Mgr. and has the following contact phone number (210) 924-4279.

The enumeration date for this NPI number is 2/12/2010 and was last updated on 2/12/2010.

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:

Other Identifiers

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