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KEVIN R JACKSON DDS
NPI 1265570683
Dentist - Pediatric Dentistry in Powder Springs, GA

Active since February 01, 2007
4150 MACLAND RD, SUITE 205, POWDER SPRINGS, GA 30127(770) 222-1344(770) 222-1345 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin R Jackson Dds NPPES

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

KEVIN R JACKSON DDS (NPI 1265570683) is an individual pediatric dentistry provider in Powder Springs, Georgia, licensed in Georgia (DN012902) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1265570683
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameKEVIN R JACKSONCredential: DDS
Location Address4150 MACLAND RD, SUITE 205Powder Springs, GA 30127-1202
Mailing Address5605 Maxon Marsh DrHiram, GA 30141-2880
Phone(770) 222-1344
Fax(770) 222-1345
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 10, 2007
✔ NPI 1265570683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN012902
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4150 MACLAND RD, Powder Springs, GA 30127
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

DR. JULIET DZEKASHU DANGOH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4150 MACLAND RD
POWDER SPRINGS, GA 30127
Cobb County (770) 222-5190
YOUNG SMILES DENTISTRY FOR KIDS
Dentist (Pediatric Dentistry)
4150 MACLAND RD, SUITE 205
POWDER SPRINGS, GA 30127
Cobb County (770) 222-1344
ANDERSON LEE RUSSELL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4150 MACLAND RD
POWDER SPRINGS, GA 30127
Cobb County (770) 222-5190
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
4150 MACLAND RD
POWDER SPRINGS, GA 30127
Cobb County (770) 222-5190
AUSTIN BILLINGS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4150 MACLAND RD
POWDER SPRINGS, GA 30127
Cobb County (770) 222-5190
MS. VANESSA DAWN IRVINE
Dental Assistant
4150 MACLAND RD
POWDER SPRINGS, GA 30127
Cobb County (770) 222-1344
SANKET PATEL
Pharmacist
4150 MACLAND RD
POWDER SPRINGS, GA 30127
Cobb County (770) 222-5190
UCHE A ANIKPE PHARM. D
Pharmacist
4150 MACLAND RD
POWDER SPRINGS, GA 30127
Cobb County (770) 222-5190

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 Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1265570683. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Kevin Jackson located?

Kevin Jackson practices at 4150 Macland Rd Suite 205, Powder Springs, GA 30127. The listed phone number is (770) 222-1344.

What is Kevin Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kevin Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Kevin Jackson 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 Kevin Jackson was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.