Charles Jackson, DMD

General Practice Dentistry · Jackson Heights, NY

Individual Active NPI

NPI number 1982769840

Practice location

3540 82ND St
Jackson Heights, NY 11372-5159
Phone
(718) 446-7100
Fax
(718) 446-8900

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NPI record

NPI
1982769840
Entity type
Individual (Type 1)
Enumeration date
December 22, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 35470 NY

About Dr. Jackson

Charles Jackson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3540 82ND St, Jackson Heights, NY 11372-5159. The NPI number 1982769840 was assigned on December 22, 2006 and the record was last updated on July 8, 2007.

Dr. Jackson lists a license in the registry: #35470 (NY) 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 Charles Jackson, DMD?

The NPI number is 1982769840.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (718) 446-7100.

Where is Dr. Jackson located?

3540 82ND St, Jackson Heights, NY 11372-5159.

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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