1. Home
  2. Directory
  3. Indiana
  4. Greenwood
  5. Dentist
  6. NPI Profile

INDIANA PERIODONTICS
NPI 1427143643
Dentist - Periodontics in Greenwood, IN

Active since October 04, 2006
45 N MADISON AVE, GREENWOOD, IN 46142(317) 887-3180(317) 882-2718 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Indiana Periodontics NPPES

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

INDIANA PERIODONTICS (NPI 1427143643) is a healthcare organization registered as a periodontics in Greenwood, Indiana and active in the NPI registry since October 2006. The organization lists Kristin M Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1427143643
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameJACKSON PERIODONTICS
Location Address45 N MADISON AVEGreenwood, IN 46142-3526
Mailing Address45 N Madison AveGreenwood, IN 46142-3526 · (317) 887-3180 · Fax (317) 882-2718
Phone(317) 887-3180
Fax(317) 882-2718
Organization SubpartNo
Authorized OfficialKristin M JacksonOwner · (317) 887-3180
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 16, 2011
✔ NPI 1427143643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IN · 12009767
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
45 N MADISON AVE, Greenwood, IN 46142
Open in Google Maps ↗

Other Names 1

Doing Business AsIndiana Periodontics

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 2

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

DR. KRISTIN M JACKSON D.D.S., M.S.D.
Dentist (Periodontics)
45 N MADISON AVE
GREENWOOD, IN 46142
Johnson County (317) 887-3180
COMMUNITY HOSPITALS OF INDIANA INC
Internal Medicine
45 N MADISON AVE
GREENWOOD, IN 46142
Johnson County (317) 887-7624

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 Periodontics's NPI number?

The NPI number for Jackson Periodontics is 1427143643. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Indiana Periodontics.

Where is Jackson Periodontics located?

Jackson Periodontics is located at 45 N Madison Ave, Greenwood, IN 46142. The listed phone number is (317) 887-3180.

What is Jackson Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jackson Periodontics was last updated on June 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.