Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518982487 Individual Practitioner Male Practitioner

Dr. Kelly Donald Jackson , DDS

Dentist • Largo, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Jackson, DDS is a registered healthcare professional specializing in Dentist in Largo, FL. Practice services are available at 1571 JONATHAN CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1571 Jonathan Ct

Largo, FL 337701676

Telephone 8104347192

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Largo, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Largo, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN24739

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MI 14202

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 09, 2024

Registered at 1571 JONATHAN CT, LARGO, FL 337701676 (Tel: 8104347192)

📍
Updated Business Mailing Address December 09, 2024

Registered at 1571 JONATHAN CT, LARGO, FL 337701676 (Tel: 8104347192)

📍
Updated Practice Location August 25, 2020

Registered at 3023 EASTLAND BLVD STE 112, CLEARWATER, FL 337614106 (Tel: 7277975161)

📍
Updated Business Mailing Address August 25, 2020

Registered at 3023 EASTLAND BLVD STE 112, CLEARWATER, FL 337614106 (Tel: 2779751617)

NPI Profile Active November 12, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2009

Registered at 1980 FRED MOORE HWY, ST. CLAIR, MI 48079 (Tel: 8103297440)

📍
Updated Business Mailing Address November 12, 2009

Registered at 1980 FRED MOORE HWY, ST. CLAIR, MI 48079 (Tel: 8103297440)

👤
Provider Name / Credentials Updated November 12, 2009

Recorded as KELLY JACKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2009

Dentist (License #14202 in MI)

🟢
Initial NPI Registration & Enumeration July 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518982487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2006
Last Update: December 09, 2024
Sole Proprietor: Yes

Mailing Address

1571 Jonathan Ct

Largo, FL 337701676

Phone: 8104347192

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.