Kansington Caroline Jackson

Dentist · Lawrenceville, GA

Individual Active NPI

NPI number 1184411191

Practice location

1030 Duluth Hwy Ste a
Lawrenceville, GA 30043-5215
Phone
(770) 995-1957
Fax
(770) 995-8579

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NPI record

NPI
1184411191
Entity type
Individual (Type 1)
Enumeration date
April 22, 2025
Last updated
August 13, 2026
Certified
August 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN124145 GA

About Kansington Jackson

Kansington Caroline Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1030 Duluth Hwy Ste a, Lawrenceville, GA 30043-5215. The NPI number 1184411191 was assigned on April 22, 2025 and the record was last updated on August 13, 2026.

Kansington Jackson lists a license in the registry: #DN124145 (GA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kansington Caroline Jackson?

The NPI number is 1184411191.

What is the phone number of Kansington Jackson?

The phone number listed for the practice location is (770) 995-1957.

Where is Kansington Jackson located?

1030 Duluth Hwy Ste a, Lawrenceville, GA 30043-5215.

What is the taxonomy code for Kansington Jackson?

The primary taxonomy code is 122300000X – Dentist.

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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