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

DR. TERENCE STEWART JACKSON, DMD MA

Active

DR. TERENCE STEWART JACKSON, DMD MA is a Periodontology healthcare provider located in STAMFORD, Connecticut. NPI 1306940994 is currently active in the NPPES registry. Verify at CMS.

Periodontology · STAMFORD, CT

Registration Details

NPI Number
1306940994
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2006 (19.897396763391 yrs)
Last Updated
Jul 8, 2007
Licenses
009411 (CT)
20271 (MA)
0518851 (NY)

Practice Information

Address
47 OAK ST
2ND FLOOR
STAMFORD, CT, 06905
Browse CT providers · Browse ZIP 06905
Phone
2032522252
Fax
2035046270
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in STAMFORD, CT

Name Credential NPI
ALAN NORMAN MILLER D.D.S. 1568485035
EDMUND DAVID D'ONOFRIO DMD 1053328591
DR. JOHN PETER RALLO D.D.S 1417024084
DR. MILES H SCHEFFER DDS 1508981770
LISA D TREPP DMD 1568655074
DR. JAMES D KOUTSOUKOS DMD 1932774148
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.