Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Dental, PA

Organization Dental Clinic/Center · NPI 1588002620

Jackson Dental, PA is a Dental Clinic/Center in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 E Kennedy Blvd Ste 300
Tampa, FL 33602-5179
Phone: (352) 871-2577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DN18870 (FL)

Record details

NPI number1588002620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Jackson — Ceo/Owner · (352) 871-2577
NPI enumeratedJune 11, 2013
Last updated in NPPESJune 11, 2013
Mailing address101 E Kennedy Blvd, Ste 300, Tampa, FL 33602-5179

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