Dr. Gregory Thurgood Jackson , DDS
Dentist - General Practice • Carson, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gregory Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gregory Jackson, DDS was a registered Dentist - General Practice practicing in Carson, CA. Throughout an active medical career spanning 17 years, Dr. Jackson provided care at the practice location at 550 E DEL AMO BLVD until profile deactivation on 2023-03-24.
Practice Location & Contact Primary Location
550 E Del Amo Blvd
Carson, CA 907463314
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Carson, CA
Practicing in Carson, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Periodontics
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist - Oral and Maxillofacial Surgery
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 24, 2023
NPI status registered as active in NPPES database
Registered at 550 E DEL AMO BLVD, CARSON, CA 907463314 (Tel: 3105155672)
Registered at 827 S BURNSIDE AVE, LOS ANGELES, CA 900364744 (Tel: 3239357991)
Recorded as GREGORY JACKSON, DDS
Dentist (License #30533 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
827 S Burnside Ave
Los Angeles, CA 900364744
Phone: 3239357991
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