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DR ANDREW LEE JACKSON DMD DR CELESTINE VERNEDOE DMD
NPI 1124157847
Dentist - General Practice in Waycross, GA

Active since March 06, 2007
2009 TEBEAU STREET, WAYCROSS, GA 31501(912) 283-1340(912) 283-0334 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd NPPES

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

DR ANDREW LEE JACKSON DMD DR CELESTINE VERNEDOE DMD (NPI 1124157847) is a healthcare organization registered as a general practice in Waycross, Georgia and active in the NPI registry since March 2007. The organization lists Andrew Lee Jackson, Owner President, as its authorized official.

NPPES Registry Identity

NPI1124157847
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACKSON FAMILY DENTISTRY PC
Location Address2009 TEBEAU STREETWaycross, GA 31501
Mailing Address2009 Tebeau StreetWaycross, GA 31501 · (912) 283-1340 · Fax (912) 283-0334
Phone(912) 283-1340
Fax(912) 283-0334
Organization SubpartNo
Authorized OfficialAndrew Lee JacksonOwner President · (912) 283-1340
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1124157847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in GA · 9939✔ Licensed in GA · 9840
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.
2009 TEBEAU STREET, Waycross, GA 31501
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Other Names 1

Other NameDr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. CELESTINE VARNEDOE DMD
Dentist (General Practice)
2009 TEBEAU STREET
WAYCROSS, GA 31501
Ware County (912) 283-1340

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 Jackson Family Dentistry PC's NPI number?

The NPI number for Jackson Family Dentistry PC is 1124157847. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is also known as Dr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd.

Where is Jackson Family Dentistry PC located?

Jackson Family Dentistry PC is located at 2009 Tebeau Street, Waycross, GA 31501. The listed phone number is (912) 283-1340.

What is Jackson Family Dentistry PC'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 Jackson Family Dentistry PC was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.