Individual provider · Type 1 NPI

Vanessa Yepez Jackson, STUDENT

Dentist · Fayetteville, NC

NPI number 1548989130 Active

Practice location

265 Westlake Rd
Fayetteville, NC 28314-4869

Mailing address

5668 Juneberry Ln
Fayetteville, NC 28304-4859

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X14238 (NC)

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 1548989130

Vanessa Yepez Jackson, STUDENT's National Provider Identifier is 1548989130, issued on Aug 25, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 8, 2026.