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Contact Information

JOHN H JACKSON
503 JACKSON ST
BELLE FOURCHE, SD57717
 Phone: 605-892-6347
 Fax: 605-892-6564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOHN H JACKSON · (Male)

NPI # 1245382217
Status Active
Credentials
Entity Individual
Enumeration date 01/18/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SD License # M525
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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