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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1871935569

Dr. Keith Daniel Jackson, DMD is an Oral and Maxillofacial Surgery (Dentist) in Charlottesville, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2013
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

244 Hydraulic Ridge Rd
Charlottesville, VA 22901-8124
Phone: (434) 973-3348
Fax: (434) 977-5790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Sunset Ln, Culpeper, VA 22701-3300 — (540) 825-3069

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0401415969 (VA)

Record details

NPI number1871935569
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESMarch 26, 2024
Certification dateMay 18, 2021
Mailing address244 Hydraulic Ridge Rd, Charlottesville, VA 22901-8124

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