DR. JAMES BRIAN JACKSON D.M.D. NPI 1841601556

NPI Information

NPI: 1841601556
Provider Name: DR. JAMES BRIAN JACKSON, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
811 S 28TH AVE
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-2611
Get Directions

DR. James Brian Jackson, D.M.D. is an oral and maxillofacial surgery dentist in Hattiesburg, MS. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. James Brian Jackson, D.M.D. NPI is 1841601556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

811 S 28TH AVE
HATTIESBURG, MS
ZIP 39402-602
Phone: (601) 261-2611

The NPI 1841601556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2014 and was last updated on 2/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		3742-14	MISSISSIPPI	No
2	1223G0001X	Dentist	General Practice	3742-14	MISSISSIPPI	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	3742-14	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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