DR. Walter Charles Jackson, DDS, MD is an oral and maxillofacial surgery dentist in Metairie, LA. The provider is the specialty of dentistry which includes 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. DR. Walter Charles Jackson, DDS, MD NPI is 1255507588. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4051 VETERANS MEMORIAL BLVD
SUITE 200
METAIRIE, LA
ZIP 70002-572
Phone: (504) 455-7161
Fax: (504) 455-7162
The NPI 1255507588 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/6/2008 and was last updated on 6/17/2009.