Dr. Montina Golphin Jackson
DMD | Dentist
2197 Martin Luther King Jr Dr Sw, Atlanta
Georgia, 30310-1143
404-699-1919 404-699-1402
Maps & DirectionsDr. Montina Golphin Jackson is a Atlanta, Georgia based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Montina Golphin Jackson is
DNO10785 for General Practice Dentistry in Georgia. Her current practice location is
2197 Martin Luther King Jr Dr Sw, Atlanta. Patients can reach her at
404-699-1919.
Dr. Montina Golphin Jackson is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Montina Golphin Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Montina Golphin Jackson |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2197 Martin Luther King Jr Dr Sw, Atlanta,
Georgia, 30310-1143 |
| Phone: | 404-699-1919 |
| Fax: | 404-699-1402 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1497875504 |
| NPI Enumeration Date: | 30 Mar, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Montina Golphin Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| DNO10785 | General Practice Dentistry | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Montina Golphin Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00443968A | Medicaid | Georgia | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2197 Martin Luther King Jr Dr Sw,
Atlanta, Georgia |
| Zip: | 30310-1143 |
| Phone Number: | 404-699-1919 |
| Fax Number: | 404-699-1402 |
Patients can reach Dr. Montina Golphin Jackson at
2197 Martin Luther King Jr Dr Sw, Atlanta, Georgia or can
call to book an appointment on 404-699-1919.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.