Organization · Type 2 NPI
Jackson Periodontics
Periodontics · Greenwood, IN
NPI number
1427143643
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
About NPI 1427143643
Jackson Periodontics's National Provider Identifier is 1427143643, issued on Oct 4, 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.