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

Jackson Family Dentistry PC

Organization General Practice Dentistry · NPI 1124157847

Jackson Family Dentistry PC is a General Practice Dentistry in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2009 Tebeau St
Waycross, GA 31501
Phone: (912) 283-1340
Fax: (912) 283-0334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9939 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9840 (GA)

Record details

NPI number1124157847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Jackson — Owner President · (912) 283-1340
Other names Dr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd
NPI enumeratedMarch 6, 2007
Last updated in NPPESFebruary 12, 2008
Mailing address2009 Tebeau Street, Waycross, GA 31501

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