R. COREY JACKSON DDS, LLC
NPI 1043306467
Dentist - General Practice in Mt Juliet, TN

Active since October 04, 2006
2365 N MOUNT JULIET RD, MT JULIET, TN 37122(615) 754-5840 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About R. Corey Jackson Dds, Llc NPPES

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

R. COREY JACKSON DDS, LLC (NPI 1043306467) is a healthcare organization registered as a general practice in Mt Juliet, Tennessee and active in the NPI registry since October 2006. The organization lists Ronald Corey Jackson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1043306467
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameR. COREY JACKSON DDS, LLC
Location Address2365 N MOUNT JULIET RDMt Juliet, TN 37122-3038
Mailing Address308 Grandview DrOld Hickory, TN 37138-1645 · (615) 758-9670
Organization SubpartNo
Authorized OfficialRonald Corey JacksonManaging Member · (615) 754-5840
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1043306467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · 8279
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.
2365 N MOUNT JULIET RD, Mt Juliet, TN 37122

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
2365 N MOUNT JULIET RD
MT JULIET, TN 37122

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 R. Corey Jackson Dds, LLC's NPI number?

The NPI number for R. Corey Jackson Dds, LLC is 1043306467. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is R. Corey Jackson Dds, LLC located?

R. Corey Jackson Dds, LLC is located at 2365 N Mount Juliet Rd, Mt Juliet, TN 37122. The listed phone number is (615) 754-5840.

What is R. Corey Jackson Dds, LLC's specialty?

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

What insurance does R. Corey Jackson Dds, LLC accept?

Health plans from UnitedHealthcare list R. Corey Jackson Dds, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for R. Corey Jackson Dds, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.