Individual provider · Type 1 NPI

Alicia Renee Jackson, DDS

Dentist · New York, NY

NPI number 1710381256 Active

Practice location

245 5th Ave Fl 3
New York, NY 10016-8728

Call (917) 747-6574 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X057371-1 (NY)

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 1710381256

Alicia Renee Jackson, DDS's National Provider Identifier is 1710381256, issued on Oct 13, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in New York, NY. The record was last updated on Aug 24, 2026.