Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE LEWIS JACKSON, DDS
ActiveNICOLE LEWIS JACKSON, DDS is a Dentist healthcare provider located in MACON, Georgia. NPI 1205999588 is currently active in the NPPES registry. Verify at CMS.
Dentist · MACON, GA
Registration Details
- NPI Number
- 1205999588
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2006 (19.480526164915 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12511 (GA)
Practice Information
- Address
-
3298 NORTHSIDE DRMACON, GA, 31210Browse GA providers · Browse ZIP 31210
- Phone
- 4784751976
- Fax
- 4784751946
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES EVAN WILLIAMS | D.M.D. | 1194785220 |
| MR. ASHLEY P. WALKER | DMD | 1104882463 |
| DR. WILLIAM C SHIPP | DDS | 1578578027 |
| DR. SAM OLIVER WILLIAMS | DMD | 1396752549 |
| GANG G WANG | DMD | 1609968585 |
| TIMMI HAGAN | DMD | 1811085434 |
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.