Callen D. Jackson, DMD
General Dentistry · Brandon, MS
UnclaimedDMDNPI 1164151247
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2022-06-06
- Practice location
- Brandon, MS
- Last NPPES update
- 2022-06-06
State licenses
- MS · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.