Sara Jackson, DDS

General Practice Dentistry · Saint John, IN

Individual Active NPI

NPI number 1710546106

Practice location

8217 Wicker Ave
Saint John, IN 46373-8878
Phone
(219) 322-9920

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NPI record

NPI
1710546106
Entity type
Individual (Type 1)
Enumeration date
June 10, 2019
Last updated
June 10, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12013150A IN

About Dr. Jackson

Sara Jackson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8217 Wicker Ave, Saint John, IN 46373-8878. The NPI number 1710546106 was assigned on June 10, 2019 and the record was last updated on June 10, 2019.

Dr. Jackson lists a license in the registry: #12013150A (IN) 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 Sara Jackson, DDS?

The NPI number is 1710546106.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (219) 322-9920.

Where is Dr. Jackson located?

8217 Wicker Ave, Saint John, IN 46373-8878.

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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