Dr. W. JACKSON FAIRCLOTH Jr. D.D.S.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1679595003- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S.
- Status
- Active
Contact & Location
- Address
- 244 HYDRAULIC RIDGE RD, CHARLOTTESVILLE, VA, 229018124
- Phone
- (434) 973-3348
- Fax
- (434) 977-5790
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: VA #0401005586