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Dr. Jackson Cockley, DDS
Pediatric Dentist in Mansfield, Ohio
NPI 1487740114

Jackson Cockley is a Pediatric Dentist based in Mansfield, OH and is specialized in Pediatric Dentistry. Jackson Cockley practices in Mansfield, OH and has the professional credentials of DDS. The NPI Number for Jackson Cockley is 1487740114 and holds a License No. 30021945 (Ohio).

The current practice location address for Jackson Cockley is 1145 Aspira Ct, Mansfield, OH and can be reached out via phone at 419-774-7529 and via fax at 419-774-7529.

Location: 1145 Aspira Ct, Mansfield, OH, 44906-4125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487740114
Provider Name
Jackson Cockley
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1145 Aspira Ct, Mansfield, OH, 44906-4125
Phone Number
419-774-7529
Fax Number
419-774-7529
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2704818 05 OH
institution
Provider Business Practice Location Address Details
Address
1145 Aspira Ct
City
Mansfield
State
Ohio
Zip
44906-4125
Phone Number
419-774-7529
Fax Number
419-774-7529
person
Provider Business Mailing Address Details
Address
1145 Aspira Ct
City
Mansfield
State
Ohio
Zip
44906-4125
Phone Number
419-774-7529
Fax Number
419-774-7529
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30021945 (Ohio)
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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