Dr. W. Gerald Jackson , DMD
Dentist - General Practice • Devon, PA
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. W. Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. W. Jackson, DMD was a registered Dentist - General Practice practicing in Devon, PA. Throughout an active medical career spanning 18 years, Dr. Jackson provided care at the practice location at 12 ARLINGTON RD until profile deactivation on 2024-02-21.
Practice Location & Contact Primary Location
12 Arlington Rd
Ste102
Devon, PA 193331573
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Devon, PA
Practicing in Devon, PA (4936 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 February 21, 2024
Dentist (License #DS023668-L in PA)
NPI status registered as active in NPPES database
Registered at 12 ARLINGTON RD, STE102, DEVON, PA 193331573 (Tel: 6106875336)
Registered at 12 ARLINGTON RD, STE102, DEVON, PA 193331573 (Tel: 6106875336)
Recorded as W. JACKSON, D.M.D.
Dentist (License #DS023668-L in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
12 Arlington Rd, Ste102
Devon, PA 193331573
Phone: 6106875336
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