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

Alicia Renee Jackson, DDS

Individual provider Dentist · NPI 1710381256

Alicia Renee Jackson, DDS is a Dentist in New York, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

245 5th Ave Fl 3
New York, NY 10016-8728
Phone: (917) 747-6574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 233 E Jericho Tpke, Huntington Station, NY 11746-7307 — (631) 427-4327
  • 15 Broad St Apt 2414, New York, NY 10005-1989 — (646) 813-0645

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 057371-1 (NY)

Record details

NPI number1710381256
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 13, 2014
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

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