Kelly Donald Jackson, DDS
Dentist · Largo, FL
Practice location
1571 Jonathan CtLargo, FL 33770-1676
- Phone
- (810) 434-7192
NPI record
- NPI
- 1518982487
- Entity type
- Individual (Type 1)
- Enumeration date
- July 13, 2006
- Last updated
- December 9, 2024
- Certified
- December 6, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
About Dr. Jackson
Kelly Donald Jackson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1571 Jonathan Ct, Largo, FL 33770-1676. The NPI number 1518982487 was assigned on July 13, 2006 and the record was last updated on December 9, 2024.
Dr. Jackson lists 2 licenses in the registry: #DN24739 (FL) for Dentist; #14202 (MI) 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 Kelly Donald Jackson, DDS?
The NPI number is 1518982487.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (810) 434-7192.
Where is Dr. Jackson located?
1571 Jonathan Ct, Largo, FL 33770-1676.
What is the taxonomy code for Dr. Jackson?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
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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