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

Olivia Jackson

Individual provider General Practice Dentistry · NPI 1811745532

Olivia Jackson is a General Practice Dentistry in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

305 W 12th Ave
Columbus, OH 43210-1267
Phone: (614) 688-3763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30.027468 (OH)

Record details

NPI number1811745532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address305 W 12th Ave, Columbus, OH 43210-1267

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