Jackson Family Dentistry PC
NPI 1124157847 · General Practice Dentistry · Waycross, GA
Jackson Family Dentistry PC is a General Practice Dentistry organization in Waycross, GA (NPI 1124157847).
Provider details
- NPI number
- 1124157847
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Andrew Jackson, Owner President(912) 283-1340
- License
- 9840 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Dr Andrew Lee Jackson DMD Dr Celestine Vernedoe DMD
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2008-02-12
Frequently asked questions
- What is Jackson Family Dentistry PC's NPI number?
- Jackson Family Dentistry PC's National Provider Identifier (NPI) is 1124157847, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Family Dentistry PC?
- Jackson Family Dentistry PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jackson Family Dentistry PC located?
- Jackson Family Dentistry PC's practice location on file with NPPES is 2009 Tebeau Street, Waycross, GA 31501.
- What is Jackson Family Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Family Dentistry PC is (912) 283-1340.
- Who is the authorized official for Jackson Family Dentistry PC?
- The authorized official listed on Jackson Family Dentistry PC's NPPES record is Andrew Jackson, Owner President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Family Dentistry PC's NPI active?
- Yes — Jackson Family Dentistry PC's NPI (1124157847) is active in the NPPES registry as of the last update on 2008-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.