DR. JEFFERY DALE HARTSOG DMD
NPI 1518969633
Dentist - General Practice in Jackson, MS

Active since June 01, 2005
1437 OLD SQUARE RD, JACKSON, MS 39211(601) 362-1685(601) 982-9304 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jeffery Dale Hartsog Dmd NPPES

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

DR. JEFFERY DALE HARTSOG DMD (NPI 1518969633) is an individual general practice provider in Jackson, Mississippi, licensed in Mississippi (2079-84) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1518969633
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEFFERY DALE HARTSOGCredential: DMD
Location Address1437 OLD SQUARE RDJackson, MS 39211-5535
Mailing Address1437 Old Square RdJackson, MS 39211-5535 · (601) 362-1685 · Fax (601) 982-9304
Fax(601) 982-9304
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1518969633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MS · 2079-84
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.
1437 OLD SQUARE RD, Jackson, MS 39211

Accepted Insurance

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.

Dentist
1437 OLD SQUARE RD
JACKSON, MS 39211
Dentist (General Practice)
1437 OLD SQUARE RD, SUITE 203
JACKSON, MS 39211

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 Jeffery Hartsog's NPI number?

The NPI number for Jeffery Hartsog is 1518969633. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Jeffery Hartsog located?

Jeffery Hartsog practices at 1437 Old Square Rd, Jackson, MS 39211. The listed phone number is (601) 362-1685.

What is Jeffery Hartsog's specialty?

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

What insurance does Jeffery Hartsog accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list Jeffery Hartsog 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 Jeffery Hartsog 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.