John M. Jackson Jr., DMD

General Practice Dentistry · Lagrange, GA

Individual Active NPI

NPI number 1982717575

Practice location

304 S Lewis St
Lagrange, GA 30240-3144
Phone
(706) 845-0544
Fax
(706) 812-8791

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NPI record

NPI
1982717575
Entity type
Individual (Type 1)
Enumeration date
August 16, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN010331 GA

About Dr. Jackson

John M. Jackson Jr., DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 304 S Lewis St, Lagrange, GA 30240-3144. The NPI number 1982717575 was assigned on August 16, 2006 and the record was last updated on July 8, 2007.

Dr. Jackson lists a license in the registry: #DN010331 (GA) 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 John M. Jackson Jr., DMD?

The NPI number is 1982717575.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (706) 845-0544.

Where is Dr. Jackson located?

304 S Lewis St, Lagrange, GA 30240-3144.

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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