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DR. KYLE SPENCER JACKSON DMD,DHSC

Dental Providers Dentist Orthodontics and Dentofacial Orthopedics

Provider NPI: 1922334754

Provider Information:
DR. KYLE SPENCER JACKSON DMD,DHSC
Gender: M
Sole Proprietor

Practice Location:
301 SADDLE DR SUITE A HELENA, MT 59601-8098 US
Tel: 406-442-1899  Fax: --

Business Mailing Address:
301 SADDLE DR SUITE A HELENA, MT 59601-8098 US
Tel: 406-442-1899  Fax: --

NPI Information:
NPI: 1922334754
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
MT2374

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1223X0400X

Type:

Classification:



Definition:



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