DR. THEODORE JACKSON, D.M.D.
Dentist
Active
Individual
NPI: 1912981945
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 19026503 (IL) |
| Dentist | 122300000X | Yes | 30.026788 (OH) |
Frequently Asked Questions
NPI 1912981945 is the National Provider Identifier for DR. THEODORE JACKSON, D.M.D., a Dentist provider located in Columbus, OH. This NPI was enumerated on December 2, 2005.
DR. THEODORE JACKSON, D.M.D. practices at 305 W 12TH AVE, Columbus, OH 43210.
Quick Facts
- NPI
- 1912981945
- Type
- Individual
- Enumerated
- Dec 2, 2005
- Last Updated
- Feb 21, 2023
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