Individual provider · Type 1 NPI

Terence Stewart Jackson, DMD MA

Periodontics · Stamford, CT

NPI number 1306940994 Active

Practice location

47 Oak St, 2nd Floor
Stamford, CT 06905

Fax (203) 504-6270

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X009411 (CT)
Periodontics 1223P0300X20271 (MA)
Periodontics 1223P0300X0518851 (NY)

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.

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About NPI 1306940994

Terence Stewart Jackson, DMD MA's National Provider Identifier is 1306940994, issued on Sep 12, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Stamford, CT. The record was last updated on Jul 8, 2007.