Theodore M. Jackson, D.M.D.
General Dentistry · Columbus, OH
UnclaimedD.M.D.NPI 1912981945
- Primary taxonomy
- 122300000X
- Enumerated
- 2005-12-02
- Practice location
- Columbus, OH
- Last NPPES update
- 2023-02-21
State licenses
- IL · Dentist · NPPES self-reportedListed on NPI record
- OH · 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.