CAMILLE JACKSON DDS NPI 1467244343

NPI Information

  • NPI: 1467244343
  • Provider Name: CAMILLE JACKSON, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 2221 HAYES AVE
    FREMONT, OH
    ZIP 43420
  • Phone: (419) 334-3869

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NPI Details

Camille Jackson, DDS is a general practice dentist in Fremont, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Camille Jackson, DDS NPI is 1467244343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2221 HAYES AVE
FREMONT, OH
ZIP 43420-632
Phone: (419) 334-3869

The enumeration date for this NPI number is 5/19/2025 and was last updated on 5/19/2025.

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
11223G0001XDentistGeneral Practice30.027948OHIOYes

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: 11/21/2025

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