Individual provider · Type 1 NPI
Kristin M. Jackson, DDS, M.S.D.
Periodontics · Greenwood, IN
NPI number
1174616825
Active
Practice location
45 N Madison Ave
Greenwood, IN 46142-3526
Fax (317) 882-2718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 12009767 (IN) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Greenwood
About NPI 1174616825
Kristin M. Jackson, DDS, M.S.D.'s National Provider Identifier is 1174616825, issued on Oct 2, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Greenwood, IN. The record was last updated on Jun 16, 2011.