DR. JOSEPH C JACKSON JR. DDS,PA
NPI 1801918602
Dentist - Orthodontics and Dentofacial Orthopedics in Saint Petersburg, FL

Active since April 04, 2007
147 2ND AVE S STE 308, SAINT PETERSBURG, FL 33701(727) 415-6389 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joseph C Jackson Jr. Dds,pa NPPES

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

DR. JOSEPH C JACKSON JR. DDS,PA (NPI 1801918602) is an individual orthodontics and dentofacial orthopedics provider in Saint Petersburg, Florida, licensed in Florida (DN5413) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1801918602
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JOSEPH C JACKSON JR.Credential: DDS,PA
Location Address147 2ND AVE S STE 308Saint Petersburg, FL 33701-4393
Mailing Address147 2nd Ave S Ste 308Saint Petersburg, FL 33701-4393 · (727) 415-6389
Sole ProprietorYes
Enumeration DateApril 4, 2007
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
NPI 1801918602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in FL · DN5413
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
147 2ND AVE S STE 308, Saint Petersburg, FL 33701

Other Identifiers 5

Other59-2061906FL · Tax Id
OtherDN5413FL · State License
Medicaid075453600FL
Other85760FL · Bcbs
Medicaid075453601FL

Accepted 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 Joseph Jackson's NPI number?

The NPI number for Joseph Jackson is 1801918602. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Joseph Jackson located?

Joseph Jackson practices at 147 2nd Ave S Ste 308, Saint Petersburg, FL 33701. The listed phone number is (727) 415-6389.

What is Joseph Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Joseph Jackson accept?

Health plans from Guardian list Joseph 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 Joseph Jackson was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.