Dr Keith Daniel Jackson, DMD - Dentist in Charlottesville, VA

Dr Keith Daniel Jackson, DMD is a Dentist - Oral And Maxillofacial Surgery based in Charlottesville, Virginia. Dr Keith Daniel Jackson is licensed to practice in Virginia (license number 0401415969) and his current practice location is 244 Hydraulic Ridge Rd, Charlottesville, Virginia. He can be reached at his office (for appointments etc.) via phone at (434) 973-3348.

NPI number for Dr Keith Daniel Jackson is 1871935569 and his current mailing address is 244 Hydraulic Ridge Rd, Charlottesville, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871935569.

Contact Information

Dr Keith Daniel Jackson, DMD
244 Hydraulic Ridge Rd,
Charlottesville, VA 22901-8124
(434) 973-3348
(434) 977-5790

Map and Direction




Healthcare Provider's Profile

Full NameDr Keith Daniel Jackson
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location244 Hydraulic Ridge Rd, Charlottesville, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871935569
  • Provider Enumeration Date: 07/23/2013
  • Last Update Date: 03/26/2024

Medical Identifiers

Medical identifiers for Dr Keith Daniel Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871935569NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 0401415969 (Virginia)Primary

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. Dr Keith Daniel 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
Dr Keith Daniel Jackson, DMD
244 Hydraulic Ridge Rd,
Charlottesville, VA 22901-8124

Ph: (434) 973-3348
Dr Keith Daniel Jackson, DMD
244 Hydraulic Ridge Rd,
Charlottesville, VA 22901-8124

Ph: (434) 973-3348

Reviews and Comments


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