Jackson, Michael D

Jackson, Michael D is an sole proprietor health care provider with primary practice located at 309 N. Sheridan Rd , Lawton OK 73505. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, Michael D can be contacted via phone (580) 357-7878.

Contact Information

Primary practice address
309 N. Sheridan Rd Lawton OK 73505
Phone: (580) 357-7878
Fax: (580) 357-1963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X OK4831 Oklahoma

Profile Details

NPI number 1801898648
LBN Legal business name Jackson, Michael D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
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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