DR. GLENN D JACKSON DMD
NPI 1922028356
Dentist - General Practice in Maynard, MA

Q: What is Glenn Jackson's NPI number?

The NPI number for Glenn Jackson is 1922028356. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Glenn Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glenn 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 20, 2006PECOS Enrolled

9 NASON ST, MAYNARD, MA 01754(978) 847-9407(978) 897-3764 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Glenn D Jackson Dmd NPPES

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

DR. GLENN D JACKSON DMD (NPI 1922028356) is an individual general practice provider in Maynard, Massachusetts, licensed in Massachusetts (14629) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922028356

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GLENN D JACKSONCredential: DMD

Location Address9 NASON STMaynard, MA 01754

Mailing Address9 Nason StMaynard, MA 01754 · (978) 847-9407 · Fax (978) 897-3764

Phone(978) 847-9407

Fax(978) 897-3764

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1922028356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MA · 14629

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.

9 NASON ST, Maynard, MA 01754

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glenn D Jackson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01754 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Glenn Jackson's NPI number?

The NPI number for Glenn Jackson is 1922028356. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Glenn Jackson located?

Glenn Jackson practices at 9 Nason St, Maynard, MA 01754. The listed phone number is (978) 847-9407.

What is Glenn Jackson's specialty?

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

Is Glenn Jackson enrolled in Medicare?

Yes. Glenn Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Glenn Jackson accept?

Health plans from Humana list Glenn 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 Glenn 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.