What is Andrea Jackson's NPI number?

Andrea Jackson's National Provider Identifier (NPI) is 1578707204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Andrea Jackson's specialty?

Andrea Jackson is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).

Where is Andrea Jackson located?

Andrea Jackson's practice location on file with NPPES is 6912 Wade Ave, Clinton, MD 20735-2743.

What is Andrea Jackson's phone number?

The practice phone number listed in the NPPES registry for Andrea Jackson is (301) 868-3317.

Is Andrea Jackson's NPI active?

Yes — Andrea Jackson's NPI (1578707204) is active in the NPPES registry as of the last update on 2009-04-24.

IndividualActive

Andrea Jackson, DDS, MS

NPI 1578707204 · Prosthodontics · Clinton, MD

Andrea Jackson, DDS, MS is a Prosthodontics provider in Clinton, MD (NPI 1578707204).

Provider details

NPI number: 1578707204
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: DDS, MS
Sex: Female
Sole proprietor: Yes
License: DN4077 (DC)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700XLicense DN4077 (DC)
Dental Providers
Prosthodontics1223P0700XLicense 08111 (MD)
Dental Providers

Profile Score

Detailed profile(85/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 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

6912 Wade Ave

Clinton, MD 20735-2743

Phone: (301) 868-3317

Street-level locationGet directions

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Mailing address