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Contact Information

CHAD M JACKSON, DDS
#5 EUREKA CIRCLE
SUITE A
WICHITA FALLS, TX76308
 Phone: 940-691-6066
 Fax: 940-691-6068
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHAD M JACKSON · (Male)

NPI Number 1063582120
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 20450
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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