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Kansington C. Jackson

General Dentistry · Lawrenceville, GA

UnclaimedNPI 1184411191
Primary taxonomy
122300000X
Enumerated
2025-04-22
Practice location
Lawrenceville, GA
Last NPPES update
2026-08-13

State licenses

  • GA · 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.