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

K JACKSON DMD PC

Active Organization

K JACKSON DMD PC is a General Dentistry organization located in LAGRANGE, Georgia. NPI 1952447153 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LAGRANGE, GA

Registration Details

NPI Number
1952447153
Provider Type
Organization
NPI Issued
Jan 29, 2007 (19.544115703979 yrs)
Last Updated
Aug 22, 2020
License
DN011604 (GA)

Practice Information

Address
204 SMITH ST
LAGRANGE, GA, 302402744
Browse GA providers · Browse ZIP 30240
Phone
7068844254
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.