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

Dr. Kelly Donald Jackson, DDS

Individual provider Dentist · NPI 1518982487

Dr. Kelly Donald Jackson, DDS is a Dentist in Largo, Florida. Practices as a sole proprietor. Licensed in Florida and Michigan.

Licensed in
FL, MI
In the registry since
2006
Specialties on file
2
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.

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Practice location Address checks out

1571 Jonathan Ct
Largo, FL 33770-1676
Phone: (810) 434-7192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN24739 (FL)
Dentist Taxonomy 122300000X · Licence 14202 (MI)

Record details

NPI number1518982487
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESDecember 9, 2024
Certification dateDecember 6, 2024

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