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NPI Code Detail

MEDICARE: FRANCINE I JACKSON DDS., INC

MEDICARE: FRANCINE I JACKSON DDS., INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry43899CA

General Provider Information

NPI Number : 1548383847
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANCINE I JACKSON DDS., INC
Provider Business Mailing Address
First Line : 1711 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-2018
Country : US
Telephone Number : 562-591-4028
Fax Number : 562-591-5878
Provider Business Practice Location Address
First Line : 1711 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-2018
Country : US
Telephone Number : 562-591-4028
Fax Number : 562-591-5878
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : FRANCINE I JACKSON
Credential : DDS
Telephone Number : 562-591-4028
Provider Enumeration Date : 04/09/2007
Last Update Date : 03/07/2026

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Directions to “FRANCINE I JACKSON DDS., INC ” Practice Location

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