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

Nicole Lewis Jackson, DDS

Individual provider Dentist · NPI 1205999588

Nicole Lewis Jackson, DDS is a Dentist in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

3298 Northside Dr
Macon, GA 31210
Phone: (478) 475-1976
Fax: (478) 475-1946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12511 (GA)

Record details

NPI number1205999588
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007

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