Dr. Terence Stewart Jackson, DMDMA
Dr. Terence Stewart Jackson, DMDMA is a Periodontics in Stamford, Connecticut. Licensed in Connecticut, Massachusetts and New York. Registered with an NPI since 2006.
- Licensed in
- CT, MA, NY
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
47 Oak St 2nd FlStamford, CT 06905
Phone: (203) 252-2252
Fax: (203) 504-6270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 009411 (CT) |
|---|---|
| Periodontics | Taxonomy 1223P0300X · Licence 20271 (MA) |
| Periodontics | Taxonomy 1223P0300X · Licence 0518851 (NY) |
Record details
| NPI number | 1306940994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMDMA |
| Sole proprietor | No |
| NPI enumerated | September 12, 2006 |
| Last updated in NPPES | July 8, 2007 |
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