JACKSON WOTTON
NPI 1467267302
Dentist - General Practice in South Portland, ME

Active since February 10, 2025
171 MAINE MALL RD, SOUTH PORTLAND, ME 04106(207) 775-1551 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Wotton NPPES

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

JACKSON WOTTON (NPI 1467267302) is an individual general practice provider in South Portland, Maine, licensed in Maine (DEN5385) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1467267302
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACKSON WOTTON
Location Address171 MAINE MALL RDSouth Portland, ME 04106-2310
Mailing Address171 Maine Mall RdSouth Portland, ME 04106-2310 · (207) 775-1551
Sole ProprietorNo
Enumeration DateFebruary 10, 2025
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1467267302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ME · DEN5385
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.
171 MAINE MALL RD, South Portland, ME 04106

Other Providers at the Same Location NPPES 9

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

Dentist (General Practice)
171 MAINE MALL RD
SOUTH PORTLAND, ME 04106
Dentist (General Practice)
171 MAINE MALL RD
SOUTH PORTLAND, ME 04106
Dentist
171 MAINE MALL RD
SOUTH PORTLAND, ME 04106
Dentist
171 MAINE MALL RD
SOUTH PORTLAND, ME 04106
Dentist
171 MAINE MALL RD
SOUTH PORTLAND, ME 04106
Dentist (Oral and Maxillofacial Surgery)
171 MAINE MALL RD
SOUTH PORTLAND, ME 04106
Dentist
171 MAINE MALL RD
SOUTH PORTLAND, ME 04106
Dentist
171 MAINE MALL RD
SOUTH PORTLAND, ME 04106

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 Wotton's NPI number?

The NPI number for Jackson Wotton is 1467267302. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Jackson Wotton located?

Jackson Wotton practices at 171 Maine Mall Rd, South Portland, ME 04106. The listed phone number is (207) 775-1551.

What is Jackson Wotton'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 Wotton was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.