Jerome Adrian Jackson Jr., DDS
Dentist · Montross, VA
Practice location
18849 Kings HwyMontross, VA 22520-2965
- Phone
- (804) 493-9999
NPI record
- NPI
- 1659855914
- Entity type
- Individual (Type 1)
- Enumeration date
- September 21, 2018
- Last updated
- June 1, 2021
- Certified
- June 1, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
0401416132 | VA |
| General Practice Dentistry | 1223G0001X |
DEN4663 | ME |
About Dr. Jackson
Jerome Adrian Jackson Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 18849 Kings Hwy, Montross, VA 22520-2965. The NPI number 1659855914 was assigned on September 21, 2018 and the record was last updated on June 1, 2021.
Dr. Jackson lists 2 licenses in the registry: #0401416132 (VA) for Dentist; #DEN4663 (ME) 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 Jerome Adrian Jackson Jr., DDS?
The NPI number is 1659855914.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (804) 493-9999.
Where is Dr. Jackson located?
18849 Kings Hwy, Montross, VA 22520-2965.
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.
Other Dentist providers in Montross
- Charles B. Palmer DDS15587 Kings Hwy