Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. T. RYAN JACKSON, DDS, MSD
ActiveDR. T. RYAN JACKSON, DDS, MSD is a Periodontology healthcare provider located in GREENWOOD, Indiana. NPI 1558456772 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GREENWOOD, IN
Registration Details
- NPI Number
- 1558456772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.674304264307 yrs)
- Last Updated
- Jul 25, 2011
- License
-
12009768 (IN)
Practice Information
- Address
-
45 N. MADISON AVE.GREENWOOD, IN, 46142Browse IN providers · Browse ZIP 46142
- Phone
- 3178873180
- Fax
- 3178822718
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in GREENWOOD, IN
| Name | Credential | NPI |
|---|---|---|
| DR. KRISTIN M JACKSON | D.D.S., M.S.D. | 1174616825 |
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.