P Praxis·MD
● Active Type 2 · Organization

John M. Jackson, Jr., D.m.d., P.c.

Dentist·Lagrange, GA· NPI 1033455647 · Enumerated 2012 · 13 years on NPI
John M. Jackson, Jr., D.m.d., P.c. is 1 of 4309 dentist organizations in Georgia.
NPI age
13 years
Enumerated 2012-12-31
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
President
Last NPPES update
2012-12-31
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-12Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
304 S Lewis St
Lagrange, GA 302403144
📞 7068450544
Mailing address
304 S Lewis St
Lagrange, GA 302403144
📞 7068450544

Authorized official

John Morgan Jackson, D.M.D.
President
📞 7068450544

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    GA license #DN010331 taxonomy 1223G0001X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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