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Henry Jackson, DMD
General Practice Dentistry in Newnan, Georgia
NPI 1871147116

Henry Jackson is a General Practice Dentistry based in Newnan, GA and is specialized in General Practice. Henry Jackson practices in Newnan, GA and has the professional credentials of DMD. The NPI Number for Henry Jackson is 1871147116 and holds a License No. DN015907 (Georgia).

The current practice location address for Henry Jackson is 55 Glenda Trce, Newnan, GA and can be reached out via phone at 770-252-4466.

Location: 55 Glenda Trce, Newnan, GA, 30263-6370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871147116
Provider Name
Henry Jackson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
55 Glenda Trce, Newnan, GA, 30263-6370
Phone Number
770-252-4466
Fax Number
Provider Enumeration Date
07/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN015907 01 GA GENERAL PRACTICE
institution
Provider Business Practice Location Address Details
Address
55 Glenda Trce
City
Newnan
State
Georgia
Zip
30265-3887
Phone Number
770-252-4466
Fax Number
person
Provider Business Mailing Address Details
Address
55 Glenda Trce
City
Newnan
State
Georgia
Zip
30265-3887
Phone Number
770-252-4466
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN015907 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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