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

Dr. Sandra Nicole Jackson Dent, MD

Individual provider Pediatrics Physician · NPI 1063640563

Dr. Sandra Nicole Jackson Dent, MD is a Family Practice in Snellville, Georgia. Qualified in 2009, 17 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2240 Fountain Dr
Snellville, GA 30078-2919
Phone: (770) 978-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 336.091542 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 336.091542 (IL)

Record details

NPI number1063640563
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2009
Last updated in NPPESJanuary 10, 2022
Certification dateJuly 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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