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DANA C. JACKSON DDS. PLLC NPI 1215554639


NPI Information

NPI: 1215554639
Provider Name: DANA C. JACKSON, DDS., PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2041 GEORGIA AVE NW STE 2066
WASHINGTON, DC
ZIP 20060
Phone: (202) 865-1361
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DANA C. JACKSON, DDS., PLLC is an oral and maxillofacial surgery dentist in Washington, DC. 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. DANA C. JACKSON, DDS., PLLC NPI is 1215554639. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2041 GEORGIA AVE NW STE 2066
WASHINGTON, DC
ZIP 20060-001
Phone: (202) 865-1361
Fax: (202) 865-3323

The provider's authorized official is Dana Curtis Jackson .
The authorized official title is Owner and has the following contact phone number (301) 248-3810.

The enumeration date for this NPI number is 7/1/2020 and was last updated on 7/1/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

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

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