Search › Virginia › 122300000X
Jerome Jackson, DDS
NPI 1659855914 · on the registry since 2018 · sole proprietor
Practice
- Address
- 18849 Kings Hwy
Montross, VA 22520 - Phone
- (804) 493-9999
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- ME, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-01
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 Virginia