DR. MONTINA GOLPHIN JACKSON DMD
NPI 1497875504
Dentist - General Practice in Atlanta, GA

Q: What is Montina Jackson's NPI number?

The NPI number for Montina Jackson is 1497875504. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Q: What is Montina Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Montina Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 30, 2007

2197 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30310(404) 699-1919(404) 699-1402 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Montina Golphin Jackson Dmd NPPES

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

DR. MONTINA GOLPHIN JACKSON DMD (NPI 1497875504) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (DNO10785) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1497875504

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MONTINA GOLPHIN JACKSONCredential: DMD

Location Address2197 MARTIN LUTHER KING JR DR SWAtlanta, GA 30310-1143

Mailing Address2197 Martin Luther King Jr Dr SwAtlanta, GA 30310-1143 · (404) 699-1919 · Fax (404) 699-1402

Phone(404) 699-1919

Fax(404) 699-1402

Sole ProprietorYes

Enumeration DateMarch 30, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497875504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DNO10785

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.

2197 MARTIN LUTHER KING JR DR SW, Atlanta, GA 30310

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Other Identifiers 1

Medicaid00443968AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Montina Jackson's NPI number?

The NPI number for Montina Jackson is 1497875504. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Montina Jackson located?

Montina Jackson practices at 2197 Martin Luther King Jr Dr SW, Atlanta, GA 30310. The listed phone number is (404) 699-1919.

What is Montina Jackson's specialty?

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

What insurance does Montina Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Montina 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 Montina Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.