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

Jackson Derrick, DMD

Individual provider Dentist · NPI 1245171776

Jackson Derrick, DMD is a Dentist in Abingdon, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2026
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

616 Campus Dr Ste 100
Abingdon, VA 24210-9706
Phone: (276) 525-4487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401420083 (VA)

Record details

NPI number1245171776
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 1, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address225 Mallard Dr, Chapin, SC 29036-8265

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