Search › Georgia › 122300000X
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