Andrea Denise Jackson, DDS, MS - Dentist in Clinton, MD

Andrea Denise Jackson, DDS, MS is a Dentist - Prosthodontics based in Clinton, Maryland. Andrea Denise Jackson is licensed to practice in District Of Columbia (license number DN4077) and her current practice location is 6912 Wade Ave, Clinton, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 868-3317.

NPI number for Andrea Denise Jackson is 1578707204 and her current mailing address is 6912 Wade Ave, Clinton, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578707204.

Contact Information

Andrea Denise Jackson, DDS, MS
6912 Wade Ave,
Clinton, MD 20735-2743
(301) 868-3317
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAndrea Denise Jackson
GenderFemale
SpecialityDentist - Prosthodontics
Location6912 Wade Ave, Clinton, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578707204
  • Provider Enumeration Date: 04/24/2009
  • Last Update Date: 04/24/2009

Medical Identifiers

Medical identifiers for Andrea Denise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578707204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics DN4077 (District Of Columbia)Primary
1223P0700XDentist - Prosthodontics 08111 (Maryland)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Denise Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrea Denise Jackson, DDS, MS
6912 Wade Ave,
Clinton, MD 20735-2743

Ph: (301) 868-3317
Andrea Denise Jackson, DDS, MS
6912 Wade Ave,
Clinton, MD 20735-2743

Ph: (301) 868-3317

Reviews and Comments


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