Individual provider · Type 1 NPI

Kansington Caroline Jackson

Dentist · Lawrenceville, GA

NPI number 1184411191 Active

Practice location

1030 Duluth Hwy Ste A
Lawrenceville, GA 30043-5215

Fax (770) 995-8579

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN124145 (GA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1184411191

Kansington Caroline Jackson's National Provider Identifier is 1184411191, issued on Apr 22, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lawrenceville, GA. The record was last updated on Aug 13, 2026.