William Thomas Jacks, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123465 Issued in GA

Practice address

7319 Nashville St
Ringgold, GA 30736-2425

Phone

(706) 935-2206

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anthony L Henry DDS

  dba Northwest Georgia Dentistry

  • Dentist
  • Ringgold, GA
  • NPI 1174354393
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1275371882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 MUSTANG ST",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307416126",
            "telephone_number": "423-664-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 NASHVILLE ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362425",
            "telephone_number": "706-935-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonathan D Jackson, FNP-BC
• Timothy Jackson
• Shoba Jacob
• Kristen Rae Jaster
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• General Practice Dentistry in Ringgold, GA
• Providers in Ringgold, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.