Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN MICHAEL JACKSON, D.M.D.
ActiveDR. JONATHAN MICHAEL JACKSON, D.M.D. is a Pediatric Dentistry healthcare provider located in ATLANTA, Georgia. NPI 1588718894 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ATLANTA, GA
Registration Details
- NPI Number
- 1588718894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2007 (19.598016013896 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN011776 (GA)
Practice Information
- Address
-
755 MOUNT VERNON HWY NESUITE 100ATLANTA, GA, 303284274Browse GA providers · Browse ZIP 30328
- Phone
- 4042558443
- Fax
- 4042551326
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. VENITA C FREEMAN | DDS | 1205810686 |
| DR. JACK THOMAS JR. | DDS | 1043247257 |
| DR. SUSAN HAE KYUNG LEE | DMD | 1124042049 |
| NELSON ALLEN | DDS | 1053413906 |
| DR. KANETA R LOTT | D.D.S. | 1144321654 |
| DR. ALISA O MOORE | D.D.S. | 1770674806 |
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.