DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MERSEDES S. JACKSON, DDS

Active Sole Proprietor

MERSEDES S. JACKSON, DDS is a Dentist healthcare provider located in FORT GREGG-ADAMS, Virginia. NPI 1639664527 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT GREGG-ADAMS, VA

Registration Details

NPI Number
1639664527
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2018 (8.1263438159284 yrs)
Last Updated
Nov 7, 2024
License
0401416895 (VA)
Sole Proprietor
Yes

Practice Information

Address
KENNER ARMY HEALTH CLINIC
700 24TH STREET
FORT GREGG-ADAMS, VA, 23801
Browse VA providers · Browse ZIP 23801
Phone
8047345365
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FORT GREGG-ADAMS, VA

Name Credential NPI
DR. KRISTIANNE NORMA SINCLAIR DDS 1306125794
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.