TERENCE S JACKSON DMD
Dentist


Address: 47 Oak St Ste 240, Stamford, CT 06905-5345

TERENCE S JACKSON DMD (Credential# 703863) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

TERENCE S JACKSON DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009411. The credential type is dentist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 47 Oak St Ste 240, Stamford, CT 06905-5345. The current status is active.

Basic Information

Licensee Name TERENCE S JACKSON DMD
Credential ID 703863
Credential Number 2.009411
Credential Type Dentist
Business Address 47 Oak St Ste 240
Stamford
CT 06905-5345
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-02-08
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
413000 CSP.0037950 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-08-11 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 47 OAK ST STE 240
City STAMFORD
State CT
Zip Code 06905-5345

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Competitor

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City STAMFORD
Zip Code 06905
License Type Dentist
License Type + County Dentist + STAMFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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