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

ELBERT E JACKSON, DDS

Active

ELBERT E JACKSON, DDS is a Orthodontics healthcare provider located in MADISON, Tennessee. NPI 1356419055 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · MADISON, TN

Registration Details

NPI Number
1356419055
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2006 (19.732415983478 yrs)
Last Updated
Jul 8, 2007
License
DS2474 (TN)

Practice Information

Address
200 GLEAVES ST
SUITE C
MADISON, TN, 371152154
Browse TN providers · Browse ZIP 37115
Phone
6158591881
Fax
6158657723
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in MADISON, TN

Name Credential NPI
DR. MARION GARR DOYLE D.M.D. 1497809537
SEAN DOYLE 1477697233
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.