Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962481887 Individual Practitioner Male Practitioner

Dr. Matthew Dv Jackson , DDS

Dentist - General Practice • Wichita, KS

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Jackson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wichita, KS. Practice services are available at 9319 E HARRY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9319 E Harry
#126

Wichita, KS 67207

Telephone 3166837081
Fax 3166838149
Associated Practice Facility / Clinic
🏢 M&m Family Dentistry Llc Facility NPI 1518504976

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wichita, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
189 Specialists

Practicing in Wichita, KS (1140 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS KS7131

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Of Ks
059792 (KS)
Commercial Insurance / Payer ID United Concordia
976141

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9319 E HARRY, #126, WICHITA, KS 67207 (Tel: 3166837081)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9319 E HARRY, #126, WICHITA, KS 67207 (Tel: 3166837081)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MATTHEW JACKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #KS7131 in KS)

🟢
Initial NPI Registration & Enumeration January 10, 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: 1962481887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

9319 E Harry, #126

Wichita, KS 67207

Phone: 3166837081

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.