Jackson, Mario Michael

Jackson, Mario Michael is an individual health care provider with primary practice located at 1013 Harp Way , North Las Vegas NV 89032-7889. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jackson, Mario Michael can be contacted via phone (702) 505-3914.

Contact Information

Primary practice address
1013 Harp Way North Las Vegas NV 89032-7889
Phone: (702) 505-3914
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4594T Nevada

Profile Details

NPI number 1144302811
LBN Legal business name Jackson, Mario Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 19 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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