Individual provider · Type 1 NPI

Jordan N. Jackson, DDS

General Practice Dentistry · Philadelphia, PA

NPI number 1790396802 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Call (215) 456-7130 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X17020 (MD)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1790396802

Jordan N. Jackson, DDS's National Provider Identifier is 1790396802, issued on Aug 12, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 22, 2025.