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JOHN M. JACKSON, JR., D.M.D., P.C.
NPI 1033455647
Dentist - General Practice in Lagrange, GA

Active since December 31, 2012
304 S LEWIS ST, LAGRANGE, GA 30240(706) 845-0544 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John M. Jackson, Jr., D.m.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN M. JACKSON, JR., D.M.D., P.C. (NPI 1033455647) is a healthcare organization registered as a general practice in Lagrange, Georgia and active in the NPI registry since December 2012. The organization lists John Morgan Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1033455647
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN M. JACKSON, JR., D.M.D., P.C.
Location Address304 S LEWIS STLagrange, GA 30240-3144
Mailing Address304 S Lewis StLagrange, GA 30240-3144 · (706) 845-0544
Phone(706) 845-0544
Organization SubpartNo
Authorized OfficialJohn Morgan JacksonPresident · (706) 845-0544
Enumeration DateDecember 31, 2012
✔ NPI 1033455647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN010331
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.
304 S LEWIS ST, Lagrange, GA 30240
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSON & JACKSON DENTAL, LLP
Dentist (General Practice)
304 S LEWIS ST
LAGRANGE, GA 30240
Troup County (706) 845-0544
DR. JOHN M JACKSON JR. DMD
Dentist (General Practice)
304 S LEWIS ST
LAGRANGE, GA 30240
Troup County (706) 845-0544
DR. JOHN MORGAN JACKSON III DMD
Dentist (General Practice)
304 S LEWIS ST
LAGRANGE, GA 30240
Troup County (706) 845-0544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John M. Jackson, Jr., D.M.D., P.C.'s NPI number?

The NPI number for John M. Jackson, Jr., D.M.D., P.C. is 1033455647. It was assigned to this organization in the NPPES registry on December 31, 2012.

Where is John M. Jackson, Jr., D.M.D., P.C. located?

John M. Jackson, Jr., D.M.D., P.C. is located at 304 S Lewis St, Lagrange, GA 30240. The listed phone number is (706) 845-0544.

What is John M. Jackson, Jr., D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John M. Jackson, Jr., D.M.D., P.C. was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.