NPI age
6 years
Enumerated 2019-08-28
● Active
Type 1 · Individual
Tayler Yvette Keith Jackson, DDS
Keith Jackson is 1 of 9 dentist providers in Hiram and 1 of 2660 in Georgia.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, DC
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-09-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2660 active dentist providers in Georgia.
NPI age
6 years
↓ 8 yr below median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-08Enumerated in NPPES
2019
2026
Where they practice
Practice location
5140 Jimmy Lee Smith Pkwy
Hiram, GA 301412745
Mailing address
5140 Jimmy Lee Smith Pkwy
Hiram, GA 301412745
Specialties
-
Dentist PrimaryA 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...
-
DentistA 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.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.