Search › Kentucky › 1223P0221X

Clayton Jackson, DMD, MSD

NPI 1225692361 · on the registry since 2019

Practice

Address
3934 Dutchmans Ln
Louisville, KY 40207
Phone
(502) 897-0625
Fax
(502) 618-4514
Organisation at this address
Nursing Station Inc.
Dupont Pediatric Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 98 C Michael Davenport Blvd, Frankfort, KY
  • 4317 Charlestown Rd, New Albany, IN

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
1223P0221X
Licence states on file
IN, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky