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

TAYLER YVETTE KEITH JACKSON, DDS

Deactivated

TAYLER YVETTE KEITH JACKSON, DDS is a Dentist healthcare provider located in HIRAM, Georgia. NPI 1841848421 is deactivated in the NPPES registry. Verify at CMS.

Dentist · HIRAM, GA

This NPI has been deactivated. The record was deactivated on September 13, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1841848421
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2019 (2.0438356164384 yrs)
Last Updated
Sep 24, 2021
Deactivated
Sep 13, 2021
Licenses
DEN1002033 (DC)
DN122496 (GA)

Practice Information

Address
5140 JIMMY LEE SMITH PKWY
HIRAM, GA, 301412745
Browse GA providers · Browse ZIP 30141
Phone
7704391038
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in HIRAM, GA

Name Credential NPI
ANAIS MARIA AVERY 1316452030
CAMERYN FAULKNER 1104311620
DR. DHRUV B PATEL DMD 1659044063
NAYANA CHRISTINE DUBIER DDS 1063156628
DR. ROOH AFZA DDS 1124751169
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.