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Dr. Theodore Michael Jackson, DMD
Dentist in Columbus, Ohio
NPI 1912981945

Theodore Michael Jackson is a Dentist based in Columbus, OH. Theodore Michael Jackson practices in Columbus, OH and has the professional credentials of DMD. The NPI Number for Theodore Michael Jackson is 1912981945 and holds a License No. 19026503 (Ohio).

The current practice location address for Theodore Michael Jackson is 305 W 12Th Ave, Columbus, OH and can be reached out via phone at 614-247-6590. You can also correspond with Theodore Michael Jackson through the mailing address at 1254 N HIGH ST APT 307, COLUMBUS, OH - 43201-2438 (mailing address contact number: 618-616-5324).

Location: 305 W 12Th Ave, Columbus, OH, 43201-2438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912981945
Provider Name
Theodore Michael Jackson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
305 W 12Th Ave, Columbus, OH, 43201-2438
Phone Number
614-247-6590
Fax Number
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
305 W 12Th Ave
City
Columbus
State
Ohio
Zip
43210-1267
Phone Number
614-247-6590
Fax Number
person
Provider Business Mailing Address Details
Address
1254 N High St Apt 307
City
Columbus
State
Ohio
Zip
43201-2438
Phone Number
618-616-5324
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
30.026788 (Ohio)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19026503 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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