Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY DONALD JACKSON, DDS
Active Sole ProprietorDR. KELLY DONALD JACKSON, DDS is a Dentist healthcare provider located in LARGO, Florida. NPI 1518982487 is currently active in the NPPES registry. Verify at CMS.
Dentist · LARGO, FL
Registration Details
- NPI Number
- 1518982487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (19.902598138423 yrs)
- Last Updated
- Dec 9, 2024
- Licenses
-
14202 (MI)DN24739 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1571 JONATHAN CTLARGO, FL, 337701676Browse FL providers · Browse ZIP 33770
- Phone
- 8104347192
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in LARGO, FL
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY E. LIPTON | DDS. | 1689676918 |
| DR. ENRIAL LANDICHO ENRIQUEZ | D.D.S. | 1578542866 |
| DR. SHARON LOU ENGELMAN | D.D.S. | 1215996384 |
| DR. DOUGLAS J GRAYBILL | DDS | 1740374719 |
| DR. MARK D SOKOLOV | DDS | 1689762551 |
| DR. DAVID W PIPER | DMD | 1538242532 |
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.