Matthew Joseph Jackson, D.D.S.

General Practice Dentistry · Eustis, FL

Individual Active NPI

NPI number 1649499948

Practice location

1141 S Eustis St
Eustis, FL 32726-5558
Phone
(352) 589-2099

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NPI record

NPI
1649499948
Entity type
Individual (Type 1)
Enumeration date
April 25, 2007
Last updated
January 10, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN17428 FL

About Dr. Jackson

Matthew Joseph Jackson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1141 S Eustis St, Eustis, FL 32726-5558. The NPI number 1649499948 was assigned on April 25, 2007 and the record was last updated on January 10, 2013.

Dr. Jackson lists a license in the registry: #DN17428 (FL) 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 Matthew Joseph Jackson, D.D.S.?

The NPI number is 1649499948.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (352) 589-2099.

Where is Dr. Jackson located?

1141 S Eustis St, Eustis, FL 32726-5558.

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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