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Dr. Jerry B Booth, DDS,MS
Oral and Maxillofacial Surgery (Dentist) in Jackson, Michigan
NPI 1134224116

Jerry B Booth is a Oral and Maxillofacial Surgery (Dentist) based in Jackson, MI and is specialized in Oral and Maxillofacial Surgery. Jerry B Booth practices in Jackson, MI and has the professional credentials of DDS,MS. The NPI Number for Jerry B Booth is 1134224116 and holds a License No. JB008016 (Michigan).

The current practice location address for Jerry B Booth is 683 Robinson Rd, Jackson, MI and can be reached out via phone at 517-787-0417 and via fax at 517-787-5536.

Location: 683 Robinson Rd, Jackson, MI, 49201-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134224116
Provider Name
Jerry B Booth
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
683 Robinson Rd, Jackson, MI, 49201-1266
Phone Number
517-787-0417
Fax Number
517-787-5536
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
683 Robinson Rd
City
Jackson
State
Michigan
Zip
49203-1155
Phone Number
517-787-0417
Fax Number
517-787-5536
person
Provider Business Mailing Address Details
Address
683 Robinson Rd
City
Jackson
State
Michigan
Zip
49203-1155
Phone Number
517-787-0417
Fax Number
517-787-5536
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
JB008016 (Michigan)
Definition
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.
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