Active NPIIndividual provider

Dr. Glenn D Jackson, DMD

Dentist, General Practice in Maynard, Massachusetts

NPI Number1922028356
Practice location
9 Nason St, Maynard, MA 01754
Fax
978-897-3764
Last updated
July 8, 2007

Glenn D Jackson is a Dentist, General Practice based in Maynard, MA. Glenn D Jackson practices in Maynard, MA and has the professional credentials of DMD. The NPI Number for Glenn D Jackson is 1922028356 and holds a License No. 14629 (MA). The current practice location address for Glenn D Jackson is 9 Nason St, Maynard, MA 01754 and can be reached out via phone at 978-847-9407 and via fax at 978-897-3764.

Provider Profile Details

NPI Number
1922028356
Provider Name
Glenn D Jackson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
9 Nason St, Maynard, MA 01754
Phone Number
978-847-9407
Fax Number
978-897-3764
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Nason St
Maynard, MA 01754
Zip
01754
Phone Number
978-847-9407
Fax Number
978-897-3764
Maynard, MA 01754Get directions →

Provider Business Mailing Address Details

Address
9 Nason St
Maynard, MA 01754
City
Maynard
State
MA
Zip
01754
Phone Number
978-847-9407
Fax Number
978-897-3764

License Information

License Number
14629
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

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

Other Dentist, General Practice providers near Maynard, MA

View all Dentist, General Practice providers in Maynard →

Frequently Asked Questions

What is the NPI number of Dr. Glenn D Jackson, DMD?

The NPI number of Dr. Glenn D Jackson, DMD is 1922028356. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Glenn D Jackson, DMD?

Dr. Glenn D Jackson, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 14629.

Where does Dr. Glenn D Jackson, DMD practice?

The practice location is 9 Nason St, Maynard, MA 01754. The office can be reached at 978-847-9407 (phone) or 978-897-3764 (fax).

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 1922028356 directly on the NPPES registry website.

Browse related providers