Timothy Michael Jackson, DMD
Dentist · Elba, AL
Practice location
982 Drayton AvenueElba, AL 36323
- Phone
- (334) 897-3418
- Fax
- (334) 897-3438
NPI record
- NPI
- 1972610947
- Entity type
- Individual (Type 1)
- Enumeration date
- August 24, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
4025 | AL |
Mailing address
PO Box 450Elba, AL 36323
- Phone
- (334) 897-3418
- Fax
- (334) 897-3438
About Dr. Jackson
Timothy Michael Jackson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 982 Drayton Avenue, Elba, AL 36323. The NPI number 1972610947 was assigned on August 24, 2006 and the record was last updated on July 8, 2007.
Dr. Jackson lists a license in the registry: #4025 (AL) 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 Timothy Michael Jackson, DMD?
The NPI number is 1972610947.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (334) 897-3418.
Where is Dr. Jackson located?
982 Drayton Avenue, Elba, AL 36323.
What is the taxonomy code for Dr. 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.