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

Clayton Scott Jackson, DMD, MSD

Individual provider Pediatric Dentistry · NPI 1225692361

Clayton Scott Jackson, DMD, MSD is a Pediatric Dentistry in Louisville, Kentucky. Works from 3 locations. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3934 Dutchmans Ln
Louisville, KY 40207-4702
Phone: (502) 897-0625
Fax: (502) 618-4514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4317 Charlestown Rd, New Albany, IN 47150-8506 — (812) 258-9626
  • 98 C Michael Davenport Blvd, Frankfort, KY 40601-4333 — (502) 223-7186

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 10852 (KY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 12013287A (IN)

Record details

NPI number1225692361
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MSD
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESJanuary 17, 2023
Certification dateNovember 18, 2022

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