Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881999761 Individual Practitioner Male Practitioner

Dr. Dennis W. Jackson , DDS

Dentist • Edgewood, NM

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Jackson, DDS is a registered healthcare professional specializing in Dentist in Edgewood, NM. Practice services are available at 164 SQUARE H RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

164 Square H Rd

Edgewood, NM 870159538

Telephone 5056107885

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Edgewood, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Edgewood, NM (630 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 NM DD2699

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

6 Historical Events
NPI Profile Active January 24, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 24, 2011

Registered at 164 SQUARE H RD, EDGEWOOD, NM 870159538 (Tel: 5056107885)

📍
Updated Business Mailing Address January 24, 2011

Registered at 164 SQUARE H RD, EDGEWOOD, NM 870159538 (Tel: 5056107885)

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Provider Name / Credentials Updated January 24, 2011

Recorded as DENNIS JACKSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2011

Dentist (License #DD2699 in NM)

🟢
Initial NPI Registration & Enumeration January 24, 2011

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: 1881999761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2011
Last Update: January 24, 2011
Sole Proprietor: Yes

Mailing Address

164 Square H Rd

Edgewood, NM 870159538

Phone: 5056107885

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.