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

John M. Jackson, Jr , DMD, PC

Organization General Practice Dentistry · NPI 1033455647

John M. Jackson, Jr , DMD, PC is a General Practice Dentistry in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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

304 S Lewis St
Lagrange, GA 30240-3144
Phone: (706) 845-0544
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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 DN010331 (GA)

Record details

NPI number1033455647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Jackson — President · (706) 845-0544
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 31, 2012
Mailing address304 S Lewis St, Lagrange, GA 30240-3144

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