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Search › Indiana › 1223P0300X

T. Jackson, DDS, MSD

NPI 1558456772 · on the registry since 2006

Practice

Address
45 N. Madison Ave.
Greenwood, IN 46142
Phone
(317) 887-3180
Fax
(317) 882-2718
Organisation at this address
Jackson Periodontics
Community Hospitals Of Indiana Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223P0300X
1223P0300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-07-25

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 Indiana