Dr. Earl W Jackson , DDS
Dentist - General Practice • Marion, IN
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. Earl Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Earl Jackson, DDS was a registered Dentist - General Practice practicing in Marion, IN. Throughout an active medical career spanning 16 years, Dr. Jackson provided care at the practice location at 3802 S ADAMS ST until profile deactivation on 2022-01-30.
Practice Location & Contact Primary Location
3802 S Adams St
Marion, IN 469535058
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Marion, IN
Practicing in Marion, IN (2204 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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 30, 2022
NPI status registered as active in NPPES database
Registered at 3802 S ADAMS ST, MARION, IN 469535058 (Tel: 7656747935)
Registered at 5960 S MERIDIAN ST, MARION, IN 469536002 (Tel: 7656743457)
Recorded as EARL JACKSON, DDS
Dentist (License #5913 in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5960 S Meridian St
Marion, IN 469536002
Phone: 7656743457
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