Janice Gibson Jackson, DMD

Pediatric Dentistry · Birmingham, AL

Individual Active NPI

NPI number 1174699946

Practice location

1600 7TH Ave S
Birmingham, AL 35233-1711
Phone
(205) 939-5174
Fax
(205) 939-9796

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NPI record

NPI
1174699946
Entity type
Individual (Type 1)
Enumeration date
November 25, 2006
Last updated
October 5, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 3255 AL

Mailing address

1919 7TH Avenue South SDB Box 58
Birmingham, AL 35294-0001
Phone
(205) 934-2340
Fax
(205) 934-7899

About Dr. Jackson

Janice Gibson Jackson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1600 7TH Ave S, Birmingham, AL 35233-1711. The NPI number 1174699946 was assigned on November 25, 2006 and the record was last updated on October 5, 2018.

Dr. Jackson lists a license in the registry: #3255 (AL) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Janice Gibson Jackson, DMD?

The NPI number is 1174699946.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (205) 939-5174.

Where is Dr. Jackson located?

1600 7TH Ave S, Birmingham, AL 35233-1711.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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