Dr. Robert Charles Jackson , DDS
Dentist • Earlville, NY
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. Robert Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Jackson, DDS was a registered Dentist practicing in Earlville, NY. Throughout an active medical career spanning 19 years, Dr. Jackson provided care at the practice location at 59 N MAIN ST until profile deactivation on 2026-06-25.
Practice Location & Contact Primary Location
59 N Main St
Earlville, NY 13332
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Earlville, NY
Practicing in Earlville, NY (6355 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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
Record deactivated on June 25, 2026
NPI status registered as active in NPPES database
Registered at 59 N MAIN ST, EARLVILLE, NY 13332 (Tel: 3156916502)
Registered at PO BOX 360, 59 N MAIN ST, EARLVILLE, NY 13332 (Tel: 3156916502)
Recorded as ROBERT JACKSON, DDS
Dentist (License #038574 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 360, 59 N Main St
Earlville, NY 13332
Phone: 3156916502
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