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

JACKSON PERIODONTICS

Active Organization

JACKSON PERIODONTICS is a Periodontology organization located in GREENWOOD, Indiana. NPI 1427143643 is currently active in the NPPES registry. Verify at CMS.

Periodontology · GREENWOOD, IN

Registration Details

NPI Number
1427143643
Provider Type
Organization
NPI Issued
Oct 4, 2006 (19.898881734664 yrs)
Last Updated
Jun 16, 2011
License
12009767 (IN)

Practice Information

Address
45 N MADISON AVE
GREENWOOD, IN, 461423526
Browse IN providers · Browse ZIP 46142
Phone
3178873180
Fax
3178822718
Primary Specialty
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.