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Dr. John Andrew Jackson, DDS
Oral and Maxillofacial Surgery (Dentist) in San Antonio, Texas
NPI 1720162779

John Andrew Jackson is a Oral and Maxillofacial Surgery (Dentist) based in San Antonio, TX and is specialized in Oral and Maxillofacial Surgery. John Andrew Jackson practices in San Antonio, TX and has the professional credentials of DDS. The NPI Number for John Andrew Jackson is 1720162779 and holds a License No. D14522 (Texas).

The current practice location address for John Andrew Jackson is 600 Division Ave, San Antonio, TX and can be reached out via phone at 210-924-4279 and via fax at 210-924-4270. You can also correspond with John Andrew Jackson through the mailing address at 600 DIVISION AVE, SAN ANTONIO, TX - 78214-1350 (mailing address contact number: 210-924-4279).

Location: 600 Division Ave, San Antonio, TX, 78214-1350
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Provider Profile Details
NPI Number
1720162779
Provider Name
John Andrew Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
600 Division Ave, San Antonio, TX, 78214-1350
Phone Number
210-924-4279
Fax Number
210-924-4270
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306300-05 05 TX
784161 01 TX UNITED CONCORDIA
742713545 01 TX TAX ID
institution
Provider Business Practice Location Address Details
Address
600 Division Ave
City
State
Zip
78214-1350
Phone Number
210-924-4279
Fax Number
210-924-4270
person
Provider Business Mailing Address Details
Address
600 Division Ave
City
State
Zip
78214-1350
Phone Number
210-924-4279
Fax Number
210-924-4270
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D14522 (Texas)
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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