SearchGeorgia122300000X

Tayler Keith Jackson, DDS

NPI 1841848421 · on the registry since 2019

Practice

Address
5140 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone
(770) 439-1038
Organisation at this address
Orthodontic Care Of Georgia
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223G0001X
Licence states on file
DC, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-24

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 Georgia