Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA DENISE JACKSON, DDS, MS
Active Sole ProprietorANDREA DENISE JACKSON, DDS, MS is a Pediatric Dentistry healthcare provider located in CLINTON, Maryland. NPI 1578707204 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CLINTON, MD
Registration Details
- NPI Number
- 1578707204
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2009 (17.27398425781 yrs)
- Last Updated
- Apr 24, 2009
- Licenses
-
DN4077 (DC)08111 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6912 WADE AVECLINTON, MD, 207352743Browse MD providers · Browse ZIP 20735
- Phone
- 3018683317
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in CLINTON, MD
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN MARC-ANTHONY CROSS | DDS | 1700317542 |
| DR. NAEEM MITCHELL MOTLAGH | DMD, MDSC, FACP | 1184360448 |
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.