ANDREA DENISE JACKSON DDS, MS
NPI 1578707204
Dentist - Prosthodontics in Clinton, MD

Q: What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1578707204. It was assigned to this individual provider in the NPPES registry on April 24, 2009. The provider is also known as Dr. Andrea D Jackson Dds, Ms.

Q: What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on April 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 April 24, 2009

6912 WADE AVE, CLINTON, MD 20735(301) 868-3317 Get Directions Write a Review

NPPES record last updated: April 24, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Andrea Denise Jackson Dds, Ms NPPES

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

ANDREA DENISE JACKSON DDS, MS (NPI 1578707204) is an individual prosthodontics provider in Clinton, Maryland, licensed in District Of Columbia (DN4077) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1578707204

Entity TypeIndividualFemale

Primary Taxonomy1223P0700X

Provider Legal NameANDREA DENISE JACKSONCredential: DDS, MS

Location Address6912 WADE AVEClinton, MD 20735-2743

Mailing Address6912 Wade AveClinton, MD 20735-2743 · (301) 868-3317

Phone(301) 868-3317

Sole ProprietorYes

Enumeration DateApril 24, 2009

✔ NPI 1578707204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

Licenses✔ Licensed in DC · DN4077✔ Licensed in MD · 08111

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

6912 WADE AVE, Clinton, MD 20735

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Other Names 1

Professional Name (2)Dr. Andrea D Jackson Dds, Ms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1578707204. It was assigned to this individual provider in the NPPES registry on April 24, 2009. The provider is also known as Dr. Andrea D Jackson Dds, Ms.

Where is Andrea Jackson located?

Andrea Jackson practices at 6912 Wade Ave, Clinton, MD 20735. The listed phone number is (301) 868-3317.

What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

What insurance does Andrea Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrea 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 Andrea Jackson was last updated on April 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.