KENNETH J. JACKSON D.D.S., INC.
NPI 1902070998
Dentist - General Practice in Wapakoneta, OH

Q: What is Kenneth J. Jackson D.D.S., Inc.'s NPI number?

The NPI number for Kenneth J. Jackson D.D.S., Inc. is 1902070998. It was assigned to this organization in the NPPES registry on April 22, 2008.

Q: What is Kenneth J. Jackson D.D.S., Inc.'s specialty?

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

Active since April 22, 2008

809 REDSKIN TRL, WAPAKONETA, OH 45895(419) 738-2426 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth J. Jackson D.d.s., Inc. NPPES

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

KENNETH J. JACKSON D.D.S., INC. (NPI 1902070998) is a healthcare organization registered as a general practice in Wapakoneta, Ohio and active in the NPI registry since April 2008. The organization lists Kenneth J Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1902070998

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKENNETH J. JACKSON D.D.S., INC.

Location Address809 REDSKIN TRLWapakoneta, OH 45895-8546

Mailing Address809 Redskin TrlWapakoneta, OH 45895-8546 · (419) 738-2426

Phone(419) 738-2426

Organization SubpartNo

Authorized OfficialKenneth J JacksonPresident · (419) 738-2426

Enumeration DateApril 22, 2008

✔ NPI 1902070998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 20856

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.

809 REDSKIN TRL, Wapakoneta, OH 45895

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRISTAN DAVID MEYER DDS

Dentist

809 REDSKIN TRL
WAPAKONETA, OH 45895

Auglaize County (419) 738-7332

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 Kenneth J. Jackson D.D.S., Inc.'s NPI number?

The NPI number for Kenneth J. Jackson D.D.S., Inc. is 1902070998. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Kenneth J. Jackson D.D.S., Inc. located?

Kenneth J. Jackson D.D.S., Inc. is located at 809 Redskin Trl, Wapakoneta, OH 45895. The listed phone number is (419) 738-2426.

What is Kenneth J. Jackson D.D.S., Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth J. Jackson D.D.S., Inc. was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.