Timothy Michael Jackson, DMD is a
Dentist based in Elba, Alabama. Timothy Michael Jackson is licensed to practice in Alabama (license number 4025) and his current practice location is
982 Drayton Avenue, Elba, Alabama. He can be reached at his office (for appointments etc.) via phone at
(334) 897-3418.
NPI number for Timothy Michael Jackson is 1972610947 and his current mailing address is Po Box 450, Elba, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972610947.
Healthcare Provider's Profile
Full Name | Timothy Michael Jackson |
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Gender | Male |
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Speciality | Dentist |
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Location | 982 Drayton Avenue, Elba, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972610947
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Timothy Michael Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972610947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4025 (Alabama) | 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. Timothy Michael 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 Address | Practice Location Address |
Timothy Michael Jackson, DMD Po Box 450, Elba, AL 36323 Ph: (334) 897-3418 | Timothy Michael Jackson, DMD 982 Drayton Avenue, Elba, AL 36323 Ph: (334) 897-3418 |
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