What is Jordan Jackson's NPI number?

Jordan Jackson's National Provider Identifier (NPI) is 1790396802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jordan Jackson's specialty?

Jordan Jackson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Jordan Jackson located?

Jordan Jackson's practice location on file with NPPES is 5501 Old York Rd, Philadelphia, PA 19141-3018.

What is Jordan Jackson's phone number?

The practice phone number listed in the NPPES registry for Jordan Jackson is (215) 456-7130.

Is Jordan Jackson's NPI active?

Yes — Jordan Jackson's NPI (1790396802) is active in the NPPES registry as of the last update on 2025-06-22.

IndividualActive

Jordan Jackson, DDS

NPI 1790396802 · General Practice Dentistry · Philadelphia, PA

Jordan Jackson, DDS is a General Practice Dentistry provider in Philadelphia, PA (NPI 1790396802).

Provider details

NPI number: 1790396802
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 17020 (MD)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 17020 (MD)
Dental Providers

Profile Score

Established profile(64/100 index)

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

Registry tenure38% of score
6 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

5501 Old York Rd

Philadelphia, PA 19141-3018

Phone: (215) 456-7130

Approximate (ZIP-level) locationGet directions

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Mailing address