Individual provider · Type 1 NPI

Kevin R. Jackson, DDS

Pediatric Dentistry · Powder Springs, GA

NPI number 1265570683 Active

Practice location

4150 Macland Rd, Suite 205
Powder Springs, GA 30127-1202

Call (770) 222-1344 Map

Fax (770) 222-1345

Mailing address

5605 Maxon Marsh Dr
Hiram, GA 30141-2880

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN012902 (GA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

7 other providers at this address

About NPI 1265570683

Kevin R. Jackson, DDS's National Provider Identifier is 1265570683, issued on Feb 1, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Powder Springs, GA. The record was last updated on Jul 10, 2007.