person
Janice Gibson Jackson, DMD
Pediatric Dentist in Birmingham, Alabama
NPI 1174699946

Janice Gibson Jackson is a Pediatric Dentist based in Birmingham, AL and is specialized in Pediatric Dentistry. Janice Gibson Jackson practices in Birmingham, AL and has the professional credentials of DMD. The NPI Number for Janice Gibson Jackson is 1174699946 and holds a License No. 3255 (Alabama).

The current practice location address for Janice Gibson Jackson is 1600 7Th Ave S, Birmingham, AL and can be reached out via phone at 205-939-5174 and via fax at 205-939-9796. You can also correspond with Janice Gibson Jackson through the mailing address at 1919 7TH AVENUE SOUTH SDB BOX 58, BIRMINGHAM, AL - 35294-0001 (mailing address contact number: 205-934-2340).

Location: 1600 7Th Ave S, Birmingham, AL, 35294-0001
person
Provider Profile Details
NPI Number
1174699946
Provider Name
Janice Gibson Jackson
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1600 7Th Ave S, Birmingham, AL, 35294-0001
Phone Number
205-939-5174
Fax Number
205-939-9796
Provider Enumeration Date
11/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
219143 05 AL
009935520 05 AL
009936105 05 AL
009962890 05 AL
institution
Provider Business Practice Location Address Details
Address
1600 7Th Ave S
City
State
Zip
35233-1711
Phone Number
205-939-5174
Fax Number
205-939-9796
person
Provider Business Mailing Address Details
Address
1600 7Th Ave S
City
State
Zip
35233-1711
Phone Number
205-939-5174
Fax Number
205-939-9796
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3255 (Alabama)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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