Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1427157908 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Dirk Jackson , DDS

Dentist • Lapeer, MI

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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. Thomas Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2006
NPI Deactivation Date September 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jackson, DDS was a registered Dentist practicing in Lapeer, MI. Throughout an active medical career spanning 14 years, Dr. Jackson provided care at the practice location at 456 S MAIN ST until profile deactivation on 2020-09-08.

Practice Location & Contact Primary Location

Practice Address

456 S Main St

Lapeer, MI 484462427

Telephone 8106673535
Fax 8102455723
Associated Practice Facility / Clinic
🏢 Jackson Dental Facility NPI 1407120504

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lapeer, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Lapeer, MI (3647 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901009946

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Amit Batra , DDS

Dentist - General Practice

NPI 1295886943

Doctor of Dental Surgery

NPI 1447665013

Doctor of Dental Surgery

NPI 1578913299

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 08, 2020

Record deactivated on September 08, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 456 S MAIN ST, LAPEER, MI 484462427 (Tel: 8106673535)

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Updated Business Mailing Address July 08, 2007

Registered at 456 S MAIN ST, LAPEER, MI 484462427 (Tel: 8106673535)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS JACKSON, DDS

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

Dentist (License #2901009946 in MI)

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Initial NPI Registration & Enumeration September 21, 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: 1427157908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Deactivation Date: September 08, 2020

Mailing Address

456 S Main St

Lapeer, MI 484462427

Phone: 8106673535

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.