Dr. Theodore Michael Jackson is a Columbus, Ohio based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Theodore Michael Jackson is 30.026788 for Dentistry in Ohio. His current practice location is 305 W 12th Ave, Columbus. Patients can reach him at 614-247-6590.
Dr. Theodore Michael Jackson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Theodore Michael 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. Theodore Michael Jackson
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
305 W 12th Ave, Columbus, Ohio, 43210-1267
Phone:
614-247-6590
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:
1912981945
NPI Enumeration Date:
02 Dec, 2005
NPI Last Update On:
21 Feb, 2023
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. Theodore Michael Jackson are as mentioned below.
License Number
Specialization
State
Status
30.026788
Dentistry
Ohio
Primary
19026503
General Practice Dentistry
Illinois
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1254 N High St Apt 307, Columbus, Ohio
Zip:
43201-2438
Phone Number:
618-616-5324
Patients can reach Dr. Theodore Michael Jackson at 305 W 12th Ave, Columbus, Ohio or can call to book an appointment on 614-247-6590. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.