William Jackson
General Dentistry · Madeira, OH
UnclaimedNPI 1063717049
- Primary taxonomy
- 122300000X
- Enumerated
- 2011-01-21
- Practice location
- Madeira, OH
- Last NPPES update
- 2011-01-21
State licenses
- OH · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.