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1306681069
SAMUEL JOSEPH JACKSON
GAINESVILLE, GA
NPI
1306681069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN123447)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
Dr. SAMUEL JOSEPH JACKSON DMD
2719 LIMESTONE PKWY
GAINESVILLE, GA 30501-1472
Phone number: 770-532-7400
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Mailing Address
Dr. SAMUEL JOSEPH JACKSON DMD
1517 WALKER ST
GAINESVILLE, GA 30501-1745
Phone number: 678-897-3768
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