Active NPIIndividual provider

Dr. Jamar M Jackson, DMD

Dentist in Ridgefield, Connecticut

NPI Number1356694897
Practice location
80 Grove St, Ridgefield, CT 06877-4104
Fax
—
Last updated
January 2, 2013

Jamar Maurice Jackson is a Dentist based in Ridgefield, CT. Jamar Maurice Jackson practices in Ridgefield, CT and has the professional credentials of DMD. The NPI Number for Jamar Maurice Jackson is 1356694897 and holds a License No. 10775 (CT). The current practice location address for Jamar Maurice Jackson is 80 Grove St, Ridgefield, CT 06877-4104 and can be reached out via phone at 203-438-7280.

Provider Profile Details

NPI Number
1356694897
Provider Name
Jamar Maurice Jackson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
80 Grove St, Ridgefield, CT 06877-4104
Phone Number
203-438-7280
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 22, 2012
Last Update Date
January 2, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Grove St
Ridgefield, CT 06877-4104
Zip
06877-4104
Phone Number
203-438-7280
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
77 Harrisons Trl
Hopewell Jct, NY 12533-3223
City
Hopewell Jct
State
NY
Zip
12533-3223
Phone Number
347-249-7736

License Information

License Number
10775
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jamar M Jackson, DMD?

The NPI number of Dr. Jamar M Jackson, DMD is 1356694897. It was assigned on October 22, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Jamar M Jackson, DMD?

Dr. Jamar M Jackson, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 10775.

Where does Dr. Jamar M Jackson, DMD practice?

The practice location is 80 Grove St, Ridgefield, CT 06877-4104. The office can be reached at 203-438-7280 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356694897 directly on the NPPES registry website.

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