KEVIN R JACKSON (DDS) – Pediatric Dentistry, NPI 1265570683

KEVIN R JACKSON (DDS) is a healthcare provider. based in Powder springs, Georgia. specializing in Pediatric Dentistry. They hold the professional credentials DDS. They hold a License No. DN012902 (GA). The NPI Number for KEVIN R JACKSON (DDS) is 1265570683

Main info

Male
Sole Proprietor
Name
KEVIN R JACKSON (DDS)
NPI
1265570683
Phone
(770) 222-1344
Address
4150 MACLAND RD
Enumeration Date
1 February 2007
Last Update Date
10 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for KEVIN R JACKSON (DDS)

  • Macland Road, Macland Springs, Paulding County, Georgia, 30141, United States

    SUITE 205

    POWDER SPRINGS, GA 301271202

    Phone: (770) 222-1344

    Fax: (770) 222-1345

    Type: Location

  • 5605, Maxon Marsh Drive Southwest, Hiram, Cobb County, Georgia, 30127, United States

    HIRAM, GA 301412880

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Benco Dental Supply Co. ($95).

Total Amount

$105

General + Research + Ownership

Payments

2

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30127)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for KEVIN R JACKSON (DDS) in the U.S.?
In the U.S., KEVIN R JACKSON (DDS) is identified by NPI 1265570683.
Is KEVIN R JACKSON (DDS)'s NPI status active today?
Active status means KEVIN R JACKSON (DDS)'s NPI record is not deactivated in the public file.
Which specialty label fits KEVIN R JACKSON (DDS)?
NPPES ties KEVIN R JACKSON (DDS) to Pediatric Dentistry in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KEVIN R JACKSON (DDS) in Powder Springs, Georgia?
For routing, start with Powder Springs, Georgia for KEVIN R JACKSON (DDS), then verify phone and hours locally.
Who maintains KEVIN R JACKSON (DDS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

230 N 6TH ST UNIT 417
NPI: 1144368267

DR. LANITA YVETTE STROZIER (DDS)

Student in an Organized Health Care Education/Training Program
Bristol Station Court, Carteret, Middlesex County, New Jersey, 07008, United States
NPI: 1326293903
4150 MACLAND RD
NPI: 1174832802