Megan Karst Jackson, DMD

Individual provider Active NPI General Practice Dentistry · Theodore, AL

NPI 1346973310 · NPPES record last updated Sep 20, 2023

Key facts

NPI
1346973310
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
D.7044-C1 (AL)
Practice address
5710 Katherine Hankins Dr
Theodore, AL 36582-1918
Phone
(251) 653-0633
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D.7044-C1ALMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D.7044-C1 AL Yes

Addresses

Primary practice location

5710 Katherine Hankins Dr
Theodore, AL 36582-1918

Mailing address

26 Audubon PL
Mobile, AL 36606-1907
Phone (334) 315-1232

Other names

  • Dr. Megan Renee Karst Former name

Other providers in Theodore, AL

All providers in Theodore, AL · General Practice Dentistry in Alabama

Sources for this page

Verify at the official NPI Registry.