Andrea Denise Jackson, DDS, MS
Prosthodontics · Clinton, MD
Practice location
6912 Wade AveClinton, MD 20735-2743
- Phone
- (301) 868-3317
NPI record
- NPI
- 1578707204
- Entity type
- Individual (Type 1)
- Enumeration date
- April 24, 2009
- Last updated
- April 24, 2009
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthodontics Primary | 1223P0700X |
DN4077 | DC |
| Prosthodontics | 1223P0700X |
08111 | MD |
About Dr. Jackson
Andrea Denise Jackson, DDS, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 6912 Wade Ave, Clinton, MD 20735-2743. The NPI number 1578707204 was assigned on April 24, 2009 and the record was last updated on April 24, 2009.
Dr. Jackson lists 2 licenses in the registry: #DN4077 (DC) for Prosthodontics; #08111 (MD) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Andrea Denise Jackson, DDS, MS?
The NPI number is 1578707204.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (301) 868-3317.
Where is Dr. Jackson located?
6912 Wade Ave, Clinton, MD 20735-2743.
What is the taxonomy code for Dr. Jackson?
The primary taxonomy code is 1223P0700X – Prosthodontics; 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.
Other Prosthodontics providers in Clinton
- Naeem Mitchell Motlagh, DMD, MDSC, FACP8913 Woodyard Rd Unit B
- Stephen Marc-Anthony Cross, DDS8913 Woodyard Rd Unit B