Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE MICHAEL JACKSON, D.M.D.
ActiveDR. THEODORE MICHAEL JACKSON, D.M.D. is a Dentist healthcare provider located in COLUMBUS, Ohio. NPI 1912981945 is currently active in the NPPES registry. Verify at CMS.
Dentist · COLUMBUS, OH
Registration Details
- NPI Number
- 1912981945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2005 (20.524220838472 yrs)
- Last Updated
- Feb 21, 2023
- Licenses
-
19026503 (IL)30.026788 (OH)
Practice Information
- Address
-
305 W 12TH AVECOLUMBUS, OH, 432101267Browse OH providers · Browse ZIP 43210
- Phone
- 6142476590
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in COLUMBUS, OH
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM J LIGHTFOOT | D.D.S. | 1588661300 |
| DR. RICHARD DOUGLAS SHERMAN | DDS | 1245238757 |
| HAROLD LLOYD VOSS | DDS | 1003816109 |
| DR. FIRAS FALEH EL-MUQDAD | D.D.S. | 1972592921 |
| DR. WILLIAM GEORGE REUTER | DDS | 1740270719 |
| DR. JOAN-FLORENCE SALIDO | D.D.S. | 1386616225 |
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.