KEITH JACKSON, DMD

Oral and Maxillofacial Surgery (Dentist) · CHARLOTTESVILLE, VA

Individual Active Opted out of Medicare NPI 1871935569

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X0401415969VA

Medicare eligibility

Opted out of Medicare (Dentist), effective 2021-04-19 through 2027-04-19.

Other Oral and Maxillofacial Surgery (Dentist) providers in Virginia

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.