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DR. KELLY DONALD JACKSON DDS
NPI 1518982487
Dentist in Largo, FL

Active since July 13, 2006
1571 JONATHAN CT, LARGO, FL 33770(810) 434-7192 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 9, 2024, Aug 25, 2020 (2 updates tracked since 2020).

About Dr. Kelly Donald Jackson Dds NPPES

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

DR. KELLY DONALD JACKSON DDS (NPI 1518982487) is an individual dentist in Largo, Florida, licensed in Florida (DN24739) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1518982487
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY DONALD JACKSONCredential: DDS
Location Address1571 JONATHAN CTLargo, FL 33770-1676
Mailing Address1571 Jonathan CtLargo, FL 33770-1676 · (810) 434-7192
Phone(810) 434-7192
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1518982487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in FL · DN24739✔ Licensed in MI · 14202
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1571 JONATHAN CT, Largo, FL 33770
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life 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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1518982487. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Kelly Jackson located?

Kelly Jackson practices at 1571 Jonathan Ct, Largo, FL 33770. The listed phone number is (810) 434-7192.

What is Kelly Jackson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kelly Jackson accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Kelly 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 Kelly Jackson was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.