Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ZACHARY JACOB JACKSON
ActiveDR. ZACHARY JACOB JACKSON is a Endodontics healthcare provider located in FORT POLK, Louisiana. NPI 1548874274 is currently active in the NPPES registry. Verify at CMS.
Endodontics · FORT POLK, LA
Registration Details
- NPI Number
- 1548874274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2020 (5.9422176769015 yrs)
- Last Updated
- Aug 4, 2025
- Licenses
-
D11316 (OR)192325 (AK)192325 (AK)7727 (LA)
Practice Information
- Address
-
7223 MISSISSIPPI AVEFORT POLK, LA, 714590001Browse LA providers · Browse ZIP 71459
- Phone
- 7267801451
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
- Additional Specialty
- General Dentistry
- Additional Specialty
- Endodontics
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.