Keith Jackson
Dentist · Madeira, OH
Practice location
7113 Miami AveMadeira, OH 45243-2616
- Phone
- (513) 561-5318
- Fax
- (513) 561-1120
NPI record
- NPI
- 1831404938
- Entity type
- Individual (Type 1)
- Enumeration date
- August 12, 2010
- Last updated
- August 12, 2010
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
30023286 | OH |
About Keith Jackson
Keith Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7113 Miami Ave, Madeira, OH 45243-2616. The NPI number 1831404938 was assigned on August 12, 2010 and the record was last updated on August 12, 2010.
Keith Jackson lists a license in the registry: #30023286 (OH) 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 Keith Jackson?
The NPI number is 1831404938.
What is the phone number of Keith Jackson?
The phone number listed for the practice location is (513) 561-5318.
Where is Keith Jackson located?
7113 Miami Ave, Madeira, OH 45243-2616.
What is the taxonomy code for Keith Jackson?
The primary taxonomy code is 122300000X – Dentist.
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 Madeira
- William Jackson7113 Miami Ave