MR. MARK K JACKSON DDS
NPI 1598788796
Dentist - Oral and Maxillofacial Surgery in Madison, WI

Q: What is Mark Jackson's NPI number?

The NPI number for Mark Jackson is 1598788796. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Mark Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Mark 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 July 26, 2006

7007 OLD SAUK ROAD, MADISON, WI 53717(608) 833-2060(608) 833-1737 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mr. Mark K Jackson Dds NPPES

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

MR. MARK K JACKSON DDS (NPI 1598788796) is an individual oral and maxillofacial surgery provider in Madison, Wisconsin, licensed in Wisconsin (3459) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1598788796

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMR. MARK K JACKSONCredential: DDS

Location Address7007 OLD SAUK ROADMadison, WI 53717

Mailing Address3556 Timber LaneCross Plains, WI 53528 · (608) 798-3733 · Fax (608) 833-1737

Phone(608) 833-2060

Fax(608) 833-1737

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1598788796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in WI · 3459

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

7007 OLD SAUK ROAD, Madison, WI 53717

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Other Identifiers 4

Medicare UPINT62289

Medicare ID-Type Unspecified79095WI

Medicare ID-Type Unspecified0002WI

Medicaid33475100WI

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 Mark Jackson's NPI number?

The NPI number for Mark Jackson is 1598788796. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Mark Jackson located?

Mark Jackson practices at 7007 Old Sauk Road, Madison, WI 53717. The listed phone number is (608) 833-2060.

What is Mark Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Mark 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.