SearchVirginia122300000X

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 Center
Inferred 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