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Kevin R Jackson, DDS
Pediatric Dentist in Powder Springs, Georgia
NPI 1265570683

Kevin R Jackson is a Pediatric Dentist based in Hiram, GA and is specialized in Pediatric Dentistry. Kevin R Jackson practices in Powder Springs, GA and has the professional credentials of DDS. The NPI Number for Kevin R Jackson is 1265570683 and holds a License No. DN012902 (Georgia).

The current practice location address for Kevin R Jackson is 4150 Macland Rd, Powder Springs, GA and can be reached out via phone at 770-222-1344 and via fax at 770-222-1345.

Location: 4150 Macland Rd, Powder Springs, GA, 30141-2880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265570683
Provider Name
Kevin R Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4150 Macland Rd, Powder Springs, GA, 30141-2880
Phone Number
770-222-1344
Fax Number
770-222-1345
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4150 Macland Rd
City
Powder Springs
State
Georgia
Zip
30127-1202
Phone Number
770-222-1344
Fax Number
770-222-1345
person
Provider Business Mailing Address Details
Address
4150 Macland Rd
City
Powder Springs
State
Georgia
Zip
30127-1202
Phone Number
770-222-1344
Fax Number
770-222-1345
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN012902 (Georgia)
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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