Rollin B. Jackson III, DMD

General Practice Dentistry · Midway, GA

Individual Active NPI

NPI number 1306988571

Practice location

1718 N Coastal Hwy
Midway, GA 31320-3415
Phone
(912) 880-2288
Fax
(912) 880-2110

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NPI record

NPI
1306988571
Entity type
Individual (Type 1)
Enumeration date
February 13, 2007
Last updated
November 9, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013091 GA

Mailing address

PO Box 134
Midway, GA 31320-0134
Phone
(912) 880-2288
Fax
(912) 880-2110

About Dr. Jackson

Rollin B. Jackson III, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1718 N Coastal Hwy, Midway, GA 31320-3415. The NPI number 1306988571 was assigned on February 13, 2007 and the record was last updated on November 9, 2016.

Dr. Jackson lists a license in the registry: #DN013091 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rollin B. Jackson III, DMD?

The NPI number is 1306988571.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (912) 880-2288.

Where is Dr. Jackson located?

1718 N Coastal Hwy, Midway, GA 31320-3415.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 1223G0001X – General Practice 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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