Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISTIN M JACKSON, D.D.S., M.S.D.
ActiveDR. KRISTIN M JACKSON, D.D.S., M.S.D. is a Periodontology healthcare provider located in GREENWOOD, Indiana. NPI 1174616825 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GREENWOOD, IN
Registration Details
- NPI Number
- 1174616825
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.890468916139 yrs)
- Last Updated
- Jun 16, 2011
- License
-
12009767 (IN)
Practice Information
- Address
-
45 N MADISON AVEGREENWOOD, IN, 461423526Browse IN providers · Browse ZIP 46142
- Phone
- 3178873180
- Fax
- 3178822718
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in GREENWOOD, IN
| Name | Credential | NPI |
|---|---|---|
| DR. T. RYAN JACKSON | DDS, MSD | 1558456772 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.