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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLAYTON SCOTT JACKSON, DMD, MSD

Active

CLAYTON SCOTT JACKSON, DMD, MSD is a Pediatric Dentistry healthcare provider located in LOUISVILLE, Kentucky. NPI 1225692361 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LOUISVILLE, KY

Registration Details

NPI Number
1225692361
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2019 (7.3379700182681 yrs)
Last Updated
Jan 17, 2023
Licenses
12013287A (IN)
10852 (KY)

Practice Information

Address
3934 DUTCHMANS LN
LOUISVILLE, KY, 402074702
Browse KY providers · Browse ZIP 40207
Phone
5028970625
Fax
5026184514
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in LOUISVILLE, KY

Name Credential NPI
DR. FREDERICK RAY SWAIN D.D.S. 1659374452
DAVID A ROUGEUX DMD 1316935570
WILLIAM A PHILLIPS DMD 1245229202
DR. KEITH LESLIE RAY D.M.D. 1902896814
PRISCILLA JOHNS BOND DMD 1487644274
DR. RODERICK NOEL ABANG D.M.D 1720079783
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.