Search › Virginia › 122300000X
Clayton Jackson
NPI 1902669252 · on the registry since 2024
Practice
- Address
- 14431 Sommerville Ct Ste A
Midlothian, VA 23113 - Phone
- (804) 265-4784
- Organisation at this address
- M Scott Gore Dds Pc
Midlothian Dental CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-05
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