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NPI 1285040337

IndividualActive

Louis Jackson

NPI 1285040337 · Pediatric Dentistry · Albuquerque, NM

Provider details

NPI number: 1285040337
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Sex: Male
Sole proprietor: No
License: DEN4862 (ME)

Practice location

8201 Golf Course Rd Nw

Albuquerque, NM 87120-5842

Phone: (505) 892-9010

More NM providers

Mailing address

888 Brighton Ave

Portland, ME 04102-1004

Registry dates

Enumerated: 2014-07-09
Last updated: 2024-08-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Louis Jackson — NPI 1285040337, Albuquerque, NM | NPI Central