Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALTER CHARLES JACKSON, DDS, MD
Active Sole ProprietorDR. WALTER CHARLES JACKSON, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in METAIRIE, Louisiana. NPI 1255507588 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · METAIRIE, LA
Registration Details
- NPI Number
- 1255507588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2008 (18.240307211948 yrs)
- Last Updated
- Jun 17, 2009
- License
-
5927 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4051 VETERANS MEMORIAL BLVDSUITE 200METAIRIE, LA, 700025572Browse LA providers · Browse ZIP 70002
- Phone
- 5044557161
- Fax
- 5044557162
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in METAIRIE, LA
| Name | Credential | NPI |
|---|---|---|
| DANIEL BRIAN HARRIS | DDS. | 1811980576 |
| JOHN N KENT JR. | DDS | 1902908031 |
| MICHAEL S BLOCK | DMD | 1720180854 |
| JON D PERENACK | MD DDS | 1639271760 |
| DEMARCUS D SMITH IV | DDS | 1306940556 |
| DR. ROBERT EDWARD LANE | — | 1245312834 |
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.