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

Dr. Jeffery Dale Hartsog, DMD

Individual provider General Practice Dentistry · NPI 1518969633

Dr. Jeffery Dale Hartsog, DMD is a General Practice Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.

Licensed in
MS
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1437 Old Square Rd
Jackson, MS 39211-5535
Phone: (601) 362-1685
Fax: (601) 982-9304
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2079-84 (MS)

Record details

NPI number1518969633
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESJuly 8, 2007

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