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

DR. JEROME ADRIAN JACKSON JR., DDS

Active Sole Proprietor

DR. JEROME ADRIAN JACKSON JR., DDS is a Dentist healthcare provider located in MONTROSS, Virginia. NPI 1659855914 is currently active in the NPPES registry. Verify at CMS.

Dentist · MONTROSS, VA

Registration Details

NPI Number
1659855914
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2018 (7.8992466294953 yrs)
Last Updated
Jun 1, 2021
Licenses
DEN4663 (ME)
0401416132 (VA)
Sole Proprietor
Yes

Practice Information

Address
18849 KINGS HWY
MONTROSS, VA, 225202965
Browse VA providers · Browse ZIP 22520
Phone
8044939999
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
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.