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DR. THEODORE MICHAEL JACKSON D.M.D.
NPI 1912981945
Dentist in Columbus, OH

Active since December 02, 2005
305 W 12TH AVE, COLUMBUS, OH 43210(614) 247-6590 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2023, Apr 9, 2018 (2 updates tracked since 2018).

About Dr. Theodore Michael Jackson D.m.d. NPPES

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

DR. THEODORE MICHAEL JACKSON D.M.D. (NPI 1912981945) is an individual dentist in Columbus, Ohio, licensed in Ohio (30.026788) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1912981945
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THEODORE MICHAEL JACKSONCredential: D.M.D.
Location Address305 W 12TH AVEColumbus, OH 43210-1267
Mailing Address1254 N High St Apt 307Columbus, OH 43201-2438 · (618) 616-5324
Phone(614) 247-6590
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1912981945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30.026788
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 19026503 (IL)
305 W 12TH AVE, Columbus, OH 43210
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Other Providers at the Same Location NPPES 20

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

DR. TIMOTHY GARTH WEAVER D.D.S.
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-7473
MITCHELL THAI
Dentist (General Practice)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-4468
DIANA MAHMOODI DMD
Dentist (Prosthodontics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (703) 608-6431
DR. ELMER JAY NEWNESS D.D.S.
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-3015
DANIEL STENTZ D.D.S.
Dentist
305 W 12TH AVE, ROOM 3059C POSTLE HALL
COLUMBUS, OH 43210
Franklin County (614) 292-3596
JENNIFER BURZYNSKI DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE, OSU DEPARTMENT OF ORTHODONTICS
COLUMBUS, OH 43210
Franklin County (614) 292-9100
DR. SOORYA SRINIVASAN D.M.D
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 688-4047
DR. BRYCE WOOLSEY DDS
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-2622

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 Theodore Jackson's NPI number?

The NPI number for Theodore Jackson is 1912981945. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Theodore Jackson located?

Theodore Jackson practices at 305 W 12th Ave, Columbus, OH 43210. The listed phone number is (614) 247-6590.

What is Theodore Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Jackson was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.